Zakhama Mejda, Moussaoui Safa, Aissaoui Firas, Guediche Arwa, Loghmari Mohamed Hichem, Moussaoui Marwa, Sallem Om Kalthoum, Imen Jemni, Ben Chaabene Nabil, Zrig Ahmed, Safer Leila
Department of Gastroenterology, University Hospital Fattouma Bourguiba, Monastir, Tunisia.
Department of Radiology, University Hospital Fattouma Bourguiba, Monastir, Tunisia.
SAGE Open Med Case Rep. 2024 Aug 12;12:2050313X241269593. doi: 10.1177/2050313X241269593. eCollection 2024.
Superior mesenteric artery syndrome is an acquired vascular compression disorder resulting from the compression of the third portion of the duodenum, which is the first part of the small intestine, leading to a reduction in the space between the aorta and the superior mesenteric artery. Although rare, superior mesenteric artery syndrome-induced pancreatitis has been documented in the literature. This article presents the case of a 20-year-old female patient with a history of colectomy for acute severe colitis, resulting in significant weight loss. She was admitted to the hospital with symptoms of upper bowel obstruction, and the diagnosis of superior mesenteric artery syndrome complicated by acute pancreatitis was made. The patient underwent a nutritional assistance program along with intravenous fluid therapy, resulting in positive outcomes. Superior mesenteric artery syndrome -induced pancreatitis is rarely reported and can be attributed to an occlusive post-papillary syndrome, which causes retrograde reflux of bile into the pancreatic duct, activating inflammation responsible for pancreatitis.
肠系膜上动脉综合征是一种后天性血管压迫性疾病，由十二指肠第三部（小肠的第一部分）受压导致腹主动脉与肠系膜上动脉之间的间隙减小所致。尽管罕见，但文献中已有肠系膜上动脉综合征诱发胰腺炎的记载。本文介绍了一名20岁女性患者的病例，该患者因急性重症结肠炎行结肠切除术，导致体重显著减轻。她因上消化道梗阻症状入院，诊断为肠系膜上动脉综合征并发急性胰腺炎。患者接受了营养支持计划及静脉补液治疗，取得了良好效果。肠系膜上动脉综合征诱发的胰腺炎鲜有报道，可归因于乳头后闭塞综合征，该综合征导致胆汁逆行反流至胰管，激活引发胰腺炎的炎症反应。
