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KMID : 0374920100310010055
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Inje Medical Journal
2010 Volume.31 No. 1 p.55 ~ p.62
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A Case of Superior Mesenteric Artery Syndrome with Graves` Disease
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Park Sang-Yool
Kim Hyun-Joo
Kim Mo-Se
Park Jin-Han
Lee Young-Jin
Lee Soon-Hee
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Abstract
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Superior mesenteric artery (SMA) syndrome is a rare entity characterized by external compression of the third portion of the duodenum by the SMA, resulting in proximal duodenal obstruction. SMA syndrome is manifesting with nausea, anorexia, epigastric pain, bilious vomiting, and postprandial discomfort severe weight loss in catabolic states, external and intra-abdominal compression, mesenteric tension or postoperative states can lead to SMA syndrome. A 36-year-old man developed sudden-onset epigastric pain, bilious vomiting. He was diagnosed with hyperthyroidism 8 months ago and he was treated with antithyroid drugs for 6 months, but he stopped taking the medicine 2 months ago. Abdominal computed tomography revealed typical findings of SMA syndrome. His symptoms subsided shortly after treatment of hyperthyroidism including antithyroid drugs, beta blocker therapy. Then he took radio-iodine treatment. He has taken synthyroid as hypothyroidism after radio-iodine therapy and maintained euthyroid state.
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KEYWORD
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Superior mesenteric artery syndrome, Graves’ disease, Acute abdomen
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