Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

保存的治療が可能であった左半結腸切除後上腸間膜動脈症候群の1例:本邦報告47例の検討

Hamano, Ryousuke
Otsuka, Shinya
Nishie, Manabu
Nomura, Tsunehisa
Tokunaga, Naoyuki
Miyasou, Hideaki
Takahashi, Kenji
Tsunemitsu, Yousuke
Miyoshi, Kazuya
Inagaki, Masaru
Iwakawa, Kazuhide
Takahashi, Masahiko
Iwagaki, Hiromi
Thumnail 122_129.pdf 3.3 MB
Abstract
A 58-year-old man was diagnosed as having descending colon cancer and underwent a left colectomy with D3 node dissection and end-to-end anastomosis reconstruction. The accessory middle colic artery was secured as a feeding artery, and the middle colic artery was preserved. Diet was started on postoperative day 5 (POD5), and nausea and vomiting appeared on POD10. An upper gastrointestinal series revealed to-and-fro peristalsis in the third portion of the duodenum and dilatation of the proximal duodenum. Abdominal CT showed that the second portion of the duodenum was markedly dilated and the third portion was compressed by the superior mesenteric artery (SMA). As a result, he was diagnosed with post-operative superior mesenteric artery syndrome (SMAS) and treated with conservative therapy. The symptoms improved with a nasogastric tube, and he started to eat after POD26, followed by a successful outcome.
Keywords
上腸間膜動脈症候群 (superior mesenteric artery syndrome)
大腸癌 (colon cancer)
Note
症例報告 (Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI