EJMCR |

Case Report

Volume: 4 | Issue: 7 | Published: Jul 09, 2020 | Pages: 240 - 244 | DOI: 10.24911/ejmcr/173-1589020023

Superior mesenteric artery syndrome: a case report and a novel surgical approach

Authors: Ana Paula Fernandes Braga , Silvio Pereira Borges Junior , Daniella Montecino Vaz de Melo , Thais de Moura Braga , Helbert de Paula Pupo Nogueira , Julia Salles Rezende Dias , Thomas Diniz Moura , Vinicius Rodrigues Taranto Nunes

Article Info

Authors

Ana Paula Fernandes Braga

Post Graduate Trainee of Surgery, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Silvio Pereira Borges Junior

Post Graduate Trainee of Surgery, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Daniella Montecino Vaz de Melo

Post Graduate Trainee of Surgery, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Thais de Moura Braga

Post Graduate Trainee of Surgery, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Helbert de Paula Pupo Nogueira

Post Graduate Trainee of Surgery, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Julia Salles Rezende Dias

Post Graduate Trainee of Surgery, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Thomas Diniz Moura

6th year Medical student in Federal University of Minas Gerais, Medical School, Belo Horizonte, Brazil

Vinicius Rodrigues Taranto Nunes

General Surgeon, Hospital da Policia Militar de Minas Gerais, Belo Horizonte, Brazil

Publication History

Received: May 09, 2020

Revised: June 17, 2020

Accepted: June 24, 2020

Published: July 09, 2020

Abstract

Background: Superior mesenteric artery syndrome (SMAS) is a rare cause of duodenal obstruction that has non-specific and insidious symptoms. An initial treatment is conservative, and surgery is reserved for patients who continuously present with symptoms or complications. The aim of this study is to describe a combination of two surgical techniques: duodenojejunostomy and Strong's procedure (the release of the Treitz ligament) through a laparoscopic approach. This combination of both techniques has already been described, however, with a lack of technical detail. Case Presentation: This report presents the case of a 19-year-old male diagnosed with SMAS, confirmed through computed tomography and angiographic magnetic resonance imaging of the abdomen. He underwent a laparoscopic duodenojejunostomy and release of the Treitz's ligament. The patient recovered well with no complications and was discharged 5 days postoperatively. Conclusion: Due to the rarity of the disease, there is a lack of literature comparing the benefits of either of these two techniques, and also, there are no established protocols favoring the use of one procedure over the other. In this case, we combined both techniques to reduce the rate of recurrence, increase the anastomotic safety, and reduce long-term complications. However, a larger study would be necessary to establish the combined use of these two techniques.

Keywords: Superior mesenteric artery syndrome, Wilkie's syndrome, duodenal obstruction, laparoscopy, duodenojejunostomy, Strong's procedure, green

Pubmed Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes. Superior mesenteric artery syndrome: a case report and a novel surgical approach. EJMCR. 2020; 09 (July 2020): 240-244. doi:10.24911/ejmcr/173-1589020023

Web Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes. Superior mesenteric artery syndrome: a case report and a novel surgical approach. https://ejmcr.com/articles/1411 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1589020023

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes. Superior mesenteric artery syndrome: a case report and a novel surgical approach. EJMCR. (2020), [cited December 25, 2024]; 09 (July 2020): 240-244. doi:10.24911/ejmcr/173-1589020023

Harvard Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes (2020) Superior mesenteric artery syndrome: a case report and a novel surgical approach. EJMCR, 09 (July 2020): 240-244. doi:10.24911/ejmcr/173-1589020023

Chicago Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes. "Superior mesenteric artery syndrome: a case report and a novel surgical approach." 09 (2020), 240-244. doi:10.24911/ejmcr/173-1589020023

MLA (The Modern Language Association) Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes. "Superior mesenteric artery syndrome: a case report and a novel surgical approach." 09.July 2020 (2020), 240-244. Print. doi:10.24911/ejmcr/173-1589020023

APA (American Psychological Association) Style

Ana Paula Fernandes Braga, Silvio Pereira Borges Junior, Daniella Montecino Vaz de Melo, Thais de Moura Braga, Helbert de Paula Pupo Nogueira, Julia Salles Rezende Dias, Thomas Diniz Moura, Vinicius Rodrigues Taranto Nunes (2020) Superior mesenteric artery syndrome: a case report and a novel surgical approach. , 09 (July 2020), 240-244. doi:10.24911/ejmcr/173-1589020023