Document Detail

Unusual complication of superior mesenteric artery syndrome: spontaneous upper gastrointestinal bleeding with hypovolemic shock.
MedLine Citation:
PMID:  19181598     Owner:  NLM     Status:  MEDLINE    
Superior mesenteric artery (SMA) syndrome is an unusual form of duodenal obstruction. Complications of SMA syndrome may sometimes develop and are usually associated with marked gastric dilatation, although most complications can be corrected by supportive treatment. In this article, we report a case of severe SMA syndrome with hypovolemic shock in a 24-year-old man. Multidetector-row computed tomography with reconstructed images was performed to establish the diagnosis. Spontaneous gastrointestinal bleeding is an extremely uncommon complication of SMA syndrome, and emergent surgical intervention was unavoidable in our patient. To our knowledge, no other such case has been reported in the English-language literature.
Kai-Hsiung Ko; Shih-Hung Tsai; Chih-Yung Yu; Guo-Shu Huang; Chang-Hsien Liu; Wei-Chou Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  72     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-04-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  45-7     Citation Subset:  IM    
Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
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MeSH Terms
Gastrointestinal Hemorrhage / etiology*,  surgery
Shock / etiology*,  surgery
Superior Mesenteric Artery Syndrome / complications*
Tomography, X-Ray Computed

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