title: [A case of superior mesenteric artery syndrome after left nephrectomy].
abstract: Postoperative superior mesenteric artery syndrome is a rare complication of left nephrectomy. We treated a case of superior mesenteric artery syndrome that occurred 7 days after radical left nephrectomy for renal cell carcinoma. The patient was a 54-year-old Japanese man who presented with gross hematuria. Abdominal computed tomography showed a 3.8 x 3.8 x 5 cm heterogeneous cystic mass in the left kidney. Transperitoneal left radical nephrectomy was performed because renal cell carcinoma was suspected. The patient resumed oral intake 3 days after surgery, but he began vomiting repeatedly from the 7th day after surgery. Gastroduodenography showed an abrupt vertical linear obstruction of the third portion of the duodenum. Superior mesenteric artery syndrome was diagnosed. Conservative therapy (indwelling nasogastric tube, intravenous hyperalimentation and postural changes) was effective.
authors.affiliation: Department of Urology, Toranomon Hospital.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakano
authors.forename: Masato
authors.initials: M
authors.lastname: Matsuzaki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Morikawa
authors.forename: Hideki
authors.initials: H
authors.lastname: Komatsu
mesh_terms: D002292:Carcinoma, Renal Cell / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D011183:Postoperative Complications; D013478:Superior Mesenteric Artery Syndrome / Q000209:etiology*