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Superior mesenteric artery syndrome with hepatic portal venous gas
Author(s) -
Tsai ChiLun,
Chen MingJenn,
Tan CheKim,
Chan KheeSiang,
Cheng KuoChen
Publication year - 2007
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2007.tb00794.x
Subject(s) - intensivist , intensive care unit , medicine , intensive care , center (category theory) , general surgery , emergency medicine , intensive care medicine , chemistry , crystallography
The Medical Journal of Australia ISSN: 0025729X 1 January 2007 186 1 48-48 ©The Medical Journal of Australia 2006 www.mja.com.au SnapShot pad and sharp junc num when A 17-year-old man with a slim build presented with recurrent postprandial epigastric fullness and bilious vomiting. He was acutely unwell. An abdominal radiograph showed gastric and duodenal distension. Contrast computed tomography scans showed proximal duodenal dilatation (Box, A, arrow), with a triangular-shaped duodenum, extensive hepatic portal venous gas (Box, B, arrows), and a massively distended stomach. Superior mesenteric artery syndrome with hepatic portal venous gas was diagnosed. This syndrome occurs when the fat between the superior mesenteric artery its origin at the aorta is lost, causing a , narrow angle at the aortomesentery tion. The third portion of the duodeis compressed and becomes obstructed passing through this angle. Hepatic portal venous gas can develop as a result of bowel ischaemia. Surgical therapy with duodenojejunostomy is the treatment of choice for a severely ill patient, or when more conservative treatment has failed.