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ID 40042
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Title Alternative
A case of superior mesenteric artery syndrome after left hemicolectomy for descending colon cancer
Author
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
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)
Published Date
2010-08-02
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume122
Issue
issue2
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
129
End Page
133
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
DOI
Eprints Journal Name
joma