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01121 Journal of Nara Medical Association >
Vol.49 No.4 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/462
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タイトル: | 誘因なく発症した上腸問膜動脈症候群の1例 |
その他のタイトル: | A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME OCCURRING WITHOUT PREDISPOSING FACTOR |
著者: | 池中, 康英 松下, 和広 櫻井, 伸也 諏訪, 好信 佐藤, 由美子 松本, 真 松本, 元嗣 栗山, 茂樹 岸田, 秀樹 東野, 正 玉川, 泰浩 岡本, 新悟 福井, 博 |
キーワード: | superior mesenteric artery syndrome predisposing factor duodenal obstruction vomltlng conservatlve treatment |
発行日: | 1998年8月31日 |
出版者: | 奈良医学会 |
引用: | Journal of Nara Medical Association Vol.49 No.4 p.283-287 |
抄録: | Superior mesenteric artery (SMA) syndrome is a relatively rare disease,
which is caused by the obstruction of the third portion of the duodenum due to extrinsic
compression by the SMA and the abdominal aorta. Although anatomical characteristics,
such as the acute angle of the SMA to the abdominal aorta and proximity of the SMA to
the abdominal aorta, are considered as underlying factors for causing SMA syndrome, most
cases occur with predisposing factors such as rapid body weight loss and rapid growth. We
recently experienced a case of SMA syndrome that had occurred without any considerable
predisposing factors. The patient was a 17-year-old female, who had neither lost weight
nor experienced recent increase in height. ' She was also stable psychosomatically and had
not been taking a slimming diet. She suddenly started vomiting shortly after meals and lost
4 kg in weight over 10 days. Although gastrointestinal fiberscopy did not show significant
findings, upper gastrointestinal X-ray series revealed a sharp cut-off and obstruction to the
passage of barium in the third portion of the duodenum. This obstruction was restored in
a prone position. Subsequent magnetic resonance images did not show any tumorous lesions
in the abdomen, resulting in the diagnosis of SMA syndrome. She recovered from the
symptom by taking a prone position after meals. SMA syndrome caused without predispos-
ing factors is considered to be a rare case and the related literature is reviewed. |
URI: | http://hdl.handle.net/10564/462 |
ISSN: | 13450069 |
出現コレクション: | Vol.49 No.4
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