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KMID : 0931320140140040268
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 4 p.268 ~ p.272
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Superior Mesenteric Artery Syndrome with Massive GastricDilatation
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Lee Ho-Jun
Park Seon-Young
Kim Ho-Goon
Park Chang-Hwan
Kim Hyun-Soo
Choi Sung-Kyu
Rew Jong-Sun
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Abstract
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Superior mesenteric artery (SMA) syndrome is a rare disorder characterized by extrinsic compression of the third portion of the duodenumbetween the superior mesenteric artery and aorta, resulting in intermittent obstruction, thereby resulting in proximal duodenaland stomach dilatation. Although the most characteristic symptoms are postprandial epigastric pain, fullness, voluminousvomiting, and eructation, severe symptoms including acute massive gastric dilatation to the extent of surgical abdomen was rarelyreported. We report a case of SMA syndrome in a 24-year-old patient with an eating disorder. CT and an upper gastointestinal contrastseries revealed massive gastric dilatation which induced vascular compressions. Endoscopy showed deep extensive ulcerationsof the whole stomach with duodenal necrosis and ischemia, which prompted immediate surgical laparotomy, but no remarkable intra-abdominal peritonitis evidence was noted. We treated the patient conservatively and the patient recovered from all thesymptoms.
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KEYWORD
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Superior mesenteric artery syndrome, Eating disorders, Gastric dilatation
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