Parashar Kalind, Gandhi Darshan, Nepal Pankaj, Sapire Joshua, Ahuja Kriti, Siddiqui Imran
Department of Radiology, St. Vincent's Medical Center at Hartford Healthcare 2800 Main Street, Bridgeport, CT 06606, USA.
Maulana Azad Medical College, New Delhi, Delhi 110002, India.
BJR Case Rep. 2020 Jun 30;6(4):20200040. doi: 10.1259/bjrcr.20200040. eCollection 2020 Dec 1.
Proximal small bowel obstruction in the region of the duodenum is an uncommon clinical entity. Our case, which involves obstruction of the third portion of the duodenum due to an abdominal aortic aneurysm (AAA), is even more unusual. A review of the relevant literature regarding duodenal obstruction due to extrinsic compression includes features that differentiate aortoduodenal syndrome from superior mesenteric artery syndrome. Management of these conditions range from conservative to surgical, of which now includes a more recent role of metallic stents in some instances.
十二指肠区域的近端小肠梗阻是一种不常见的临床病症。我们的病例是因腹主动脉瘤（AAA）导致十二指肠第三部梗阻，更为罕见。一篇关于外在压迫所致十二指肠梗阻的相关文献综述，涵盖了区分主动脉十二指肠综合征与肠系膜上动脉综合征的特征。这些病症的治疗方法从保守到手术不等，其中目前在某些情况下金属支架也发挥了新的作用。
