Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy: a case report and review of literature

• Autor(a) principal: Matheus,Claudio de Oliveira
• Data de Publicação: 2005
• Outros Autores: Waisberg,Jaques, Zewer,Maria Helena de Toledo, Godoy,Antonio Claudio de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: São Paulo medical journal (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802005000300013
• topic: Superior mesenteric artery syndrome; Duodenal obstruction; Superior mesenteric artery; Restorative proctocolectomy

CONTEXT: Restorative proctocolectomy with anastomosis of an ileal pouch to the anal canal is a new and rare cause for triggering the syndrome of duodenal compression by the superior mesenteric artery. Restorative proctocolectomy requires assessment of the position of the duodenum in relation to aortomesenteric constriction to avoid the occurrence of duodenal compression by the superior mesenteric artery. CASE REPORT: The authors report on a case of this syndrome in a patient with familial adenomatous polyposis and review the literature on the etiopathogenesis, diagnosis, treatment and prevention of this unusual entity.