Superior mesenteric artery syndrome due to an aortic aneurysm in a renal transplant recipient.
Superior mesenteric artery (SMA) syndrome is a rare disease in which the third portion of the duodenum is compressed by SMA. There are many causes leading to the SMA syndrome, however it's extremely rare that aortic aneurysm causes a SMA syndrome. We report a case of a successfully treated SMA syndrome due to an abdominal aortic aneurysm in a renal transplant recipient. The patient was a 52-yr-old woman with a thin stature (weight 40 kg, height 164 cm). She received a renal transplant 8 yr before, and had hypertension and abdominal aortic aneurysm. Her SMA syndrome developed in a prolonged supine position for the accidental rib fractures and was diagnosed by clinical and radiological findings. After a surgical correction (resection of an aneurysm and aortobiiliac bypass with an inverted Y graft), her symptoms relieved without deterioration of the graft function.
Kim
Hae Rim
HR
Department of Internal Medicine and Surgery, Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Park
Mahn Won
MW
Lee
Seong Su
SS
Shin
Mee Jung
MJ
Park
Joo Hyun
JH
Yang
Chul Woo
CW
Kim
Yong Soo
YS
Koh
Yong Bok
YB
Moon
In Sung
IS
Bang
Byung Kee
BK
D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery; D004380:Duodenal Obstruction; D004386:Duodenum / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008875:Middle Aged; D013478:Superior Mesenteric Artery Syndrome / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed