2014, Cilt 27, Sayı 3, Sayfa(lar) 216-219
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The superior mesenteric artery syndrome: A case report
Ali SOLMAZ, Merve TOKOÇİN, Osman Bilgin GÜLÇİÇEK, Sinan ARICI, Aytaç BİRİCİK, Hakan YİĞİTBAŞ, Erkan YAVUZ, Candaş ERÇETİN, Fatih ÇELEBİ
Genel Cerrahi Kliniği, Bağcılar Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
Anahtar Kelimeler: Superior mesenteric artery syndrome, Intestinal obstruction, Duodenum
Özet
The superior mesenteric artery (SMA) syndrome, Wilkie's syndrome, is produced by a mechanical obstruction of the duodenum when the third part of the duodenum is trapped between the aorta and the proximal part of SMA. It was first described by Carl Freiherr von Rokitansky in 1861. It is seen when the angle between the abdominal aorta and the SMA is 6°-25° (normal value:38°-56°). It is estimated to be seen in about 0.3 % of upper gastrointestinal investigations, but only approximately 0.01-0.08 % are symptomatic. Symptoms are anorexia, bloating, nausea, vomiting, epigastric pain and weight loss. Treatment is either conservative follow-up or surgery. Surgical treatment involves duodenojejunostomy.

In this article, we present a case of SMA syndrome treated by a surgical approach.

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