Alnabulsi Baraa K, Miro Jameel T, Faidah Osama H, Hamo Mahmoud A
Prince Sultan Center for Advanced Laparoscopic Surgery, King Fahad General Hospital, PO Box 8488, Jeddah 21196, Kingdom of Saudi Arabia.
Saudi Med J. 2011 Feb;32(2):188-91.
Superior mesenteric artery (SMA) syndrome is a rare clinical phenomenon caused by compression of the third portion of the duodenum by the overlying SMA, and can be easily misdiagnosed. We report a case of SMA syndrome treated with laparoscopic duodenojejunostomy omega loop with Braun anastomosis. A 24-year-old women with body mass index of 14.9 presented with a 4-year history of vague abdominal pain mainly at the epigastric region, radiating to the back associated with heartburn, repeated vomiting, and significant loss of weight during the previous 6 months. The case was misdiagnosed as acute pancreatitis. The SMA syndrome was diagnosed using CT-scan and fluoroscopy. Laparoscopic omega loop with Braun anastomosis was preformed. She did well postoperatively, and Gastrografin study showed no leak and a patent anastomosis. She was subsequently discharged on regular diet.
肠系膜上动脉（SMA）综合征是一种罕见的临床现象，由肠系膜上动脉压迫十二指肠第三部所致，容易误诊。我们报告一例采用带布朗吻合术的腹腔镜十二指肠空肠袢式吻合术治疗的SMA综合征病例。一名体重指数为14.9的24岁女性，有4年上腹部隐痛病史，主要位于上腹部，可放射至背部，伴有烧心、反复呕吐，且在过去6个月体重显著减轻。该病例曾被误诊为急性胰腺炎。通过CT扫描和荧光镜检查诊断为SMA综合征。实施了带布朗吻合术的腹腔镜袢式吻合术。术后她恢复良好，泛影葡胺造影显示无渗漏且吻合口通畅。随后她恢复正常饮食并出院。
