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KMID : 0376119740010010074
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Medical Journal of the Red Cross Hospital
1974 Volume.1 No. 1 p.74 ~ p.80
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Report of a Case of Superior Mesenteric Artery Syndrome, Associated with Acute, Pancreatitis and Cholangitis, due to Intestinal Malrotation
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陸淳宰/Yuk, Soon Jae
朴彰成/崔仁宰/洪性薰/宋昌燮/Park, Chang Sung/Choi, In Jae/Hong, Sung Hoon/Song, Chang Sup
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Abstract
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This report describes a 16 years old female who had superior mesenteric artery syndrome, associated-with acute pancreatitis and cholangitis due to intestinal malrotation.
The patient, on the first, admission, was medically treated as simple acute pancreatitis with good. result,. but looked over the underlying causes by misinter-pretation of the radiological findings, . which had shown the . abnormally situated small bowels to the right side of abdomen and with distended gaseous colon to the left side.
On the second admission, 6 month later of the first, she showed also the symptoms-compatibleto the recurrence of acute pancreatitis and cholangitis. But upper G-I series disclosed duodenal obstruction on it´s third portion and markedly dilated stomach and duodenum.
Under the diagnosis of Superior mesenteric artery syndrome, operation was performed with good result, and found as follows:
1) Duodenal obstruction on its third portion with dilated stomach and upper duodenum.
2) Diminished mesenteric pulsation especially of superior mesenteric artery.
3) Intestinal malrotation.
4) Inflamed pancreas and biliary tract.
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