Superior mesenteric artery syndrome as a complication of ileal pouch-anal anastomosis. Report of a case.
OBJECTIVE
Duodenal compression by the superior mesenteric artery following total proctocolectomy and ileal pouch-anal anastomosis is a rare occurrence. Previous surgical treatment involved duodenal division. The aim of this report was to describe a case with such a complication and to discuss an operative alternative.


METHODS
Case report.


RESULTS
Mobilization of the duodenum from its retroperitoneal attachments, without transection and reanastomosis, allowed the free passage of gas through the duodenum and recovery for the patient.


CONCLUSIONS
This case report suggests that a more conservative approach may be successful in managing this complication.
Goes
R N
RN
Department of Surgery, State University of Campinas (UNICAMP), São Paulo, Brazil.
Coy
C S
CS
Amaral
C A
CA
Fagundes
J J
JJ
Medeiros
R R
RR
D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D003082:Colectomy / Q000009:adverse effects; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D008532:Megacolon, Toxic / Q000601:surgery; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D013478:Superior Mesenteric Artery Syndrome / Q000209:etiology* / Q000601:surgery