Document Detail


Laparoscopic duodenojejunostomy omega loop with braun anastomosis as a treatment for superior mesenteric artery syndrome.
MedLine Citation:
PMID:  21301768     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Superior mesenteric artery (SMA) syndrome is a rare clinical phenomenon caused by compression of the third portion of the duodenum by the overlying SMA, and can be easily misdiagnosed. We report a case of SMA syndrome treated with laparoscopic duodenojejunostomy omega loop with Braun anastomosis. A 24-year-old women with body mass index of 14.9 presented with a 4-year history of vague abdominal pain mainly at the epigastric region, radiating to the back associated with heartburn, repeated vomiting, and significant loss of weight during the previous 6 months. The case was misdiagnosed as acute pancreatitis. The SMA syndrome was diagnosed using CT-scan and fluoroscopy. Laparoscopic omega loop with Braun anastomosis was preformed. She did well postoperatively, and Gastrografin study showed no leak and a patent anastomosis. She was subsequently discharged on regular diet.
Authors:
Baraa K Alnabulsi; Jameel T Miro; Osama H Faidah; Mahmoud A Hamo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Saudi medical journal     Volume:  32     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  188-91     Citation Subset:  IM    
Affiliation:
Prince Sultan Center for Advanced Laparoscopic Surgery, King Fahad General Hospital, PO Box 8488, Jeddah 21196, Kingdom of Saudi Arabia. Tel. +966 (2) 6606111 Ext. 2624. Fax: +966 (2) 6672942. E-mail: tc1_sk@yahoo.com.
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