| Portal venous gas and thrombosis complicating superior mesenteric artery syndrome (Wilkie's syndrome) in a child. | |
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MedLine Citation:
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PMID: 20385295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of a 10-year-old girl presenting with portal venous gas and thrombosis associated with superior mesenteric artery syndrome. To our knowledge, this is the first reported case of superior mesenteric artery syndrome complicated by gastric wall pneumatosis, portal venous gas, and thrombosis in childhood. Although these complications usually lead to bowel resection in adults and result in a high mortality rate, our pediatric patient was successfully treated nonoperatively with intensive care management and jejunal tube feedings. Presence of portal venous gas may occur in superior mesenteric artery syndrome in children and does not necessarily lead to bowel injury, allowing conservative medical management as a first-line treatment. |
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Authors:
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Julien Rod; Sabine Sarnacki; Thierry Petit; Philippe Ravasse |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 45 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-13 Completed Date: 2010-07-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 826-9 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Pediatric Surgery, CHU Côte de Nacre, 14000 Caen, France. rod-j@chu-caen.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Female Fundoplication / adverse effects Humans Ischemia / etiology Portal Vein* Stomach / blood supply Superior Mesenteric Artery Syndrome / complications*, radiography, therapy Tomography, X-Ray Computed Venous Thrombosis / etiology*, radiography, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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