title: Superior mesenteric artery syndrome caused by huge mycotic abdominal aortic aneurysm.
abstract: A 92-year-old man who had been hospitalized for dementia developed sudden-onset bilious vomiting accompanied by a fever of 40 degrees C. Physical examination revealed an 8 cm diameter pulsatile mass in the upper abdomen. Computed tomography of the abdomen demonstrated a huge infrarenal saccular aneurysm with a lobulated appearance. We considered this to be a mycotic abdominal aortic aneurysm compressing the third portion of the duodenum and causing proximal duodenal dilatation and superior mesenteric artery (SMA) syndrome.
authors.affiliation: Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Saraya
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kurai
authors.forename: Masae
authors.initials: M
authors.lastname: Ariga
authors.forename: Keitaro
authors.initials: K
authors.lastname: Nakamoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Koide
authors.forename: Masaki
authors.initials: M
authors.lastname: Tamura
authors.forename: Manabu
authors.initials: M
authors.lastname: Higaki
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Ito
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yoshida
authors.forename: Eiichi
authors.initials: E
authors.lastname: Tanabe
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Tanabe
authors.forename: Hajime
authors.initials: H
authors.lastname: Goto
mesh_terms: D000005:Abdomen; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D011860:Radiography, Abdominal; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed