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


METHODS
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.
Matheus
Claudio de Oliveira
Cde O
Surgical Gastroenterology Department, Hospital do Servidor Público Estadual, São Paulo, Brazil. comatheus@allnet.com.br
Waisberg
Jaques
J
Zewer
Maria Helena de Toledo
MH
Godoy
Antonio Claudio de
AC
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D013478:Superior Mesenteric Artery Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed