[A possible case of superior mesenteric artery syndrome of congenital origin].
We describe a case of a 10 yr old boy, who suffered from gastroesophageal reflux in the neonatal period and from recurrent abdominal pain, epigastric distension and vomiting since birth, but with an increase in this clinic in the last two years, especially in the last five months, without suffering weight loss, having operations or other illnesses. After the diagnosis of superior mesenteric artery syndrome was confirmed by a superior barium series and a CT-scan, a laparotomy was performed, carrying out the Koecher manoeuvre, cutting the Treitz ligament near of the 4th part of the duodenum until descend that and freeing the aorto-mesenteric space. The follow up after 5 years showed an excellent clinical evolution. In our opinion, this case should be considered to be of congenital origin, but without other associated abdominal anomalies. The possible different interventions are also discussed.
Penco
J M Morán
JM
Clínica Quirúrgica San Francisco, Cáceres, Facultad de Medicina, Universidad de Extremadura, España. jmmoran@unex.es
Murillo
J Cardenal
JC
De La Calle
Pato U
PU
Masjoan
D
D
D002648:Child; D006801:Humans; D008297:Male; D011859:Radiography; D013478:Superior Mesenteric Artery Syndrome / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery