Abstract
Superior mesenteric artery (SMA) syndrome is an uncommon condition where the third portion of the duodenum is compressed and obstructed between the SMA and the aorta. An otherwise healthy 17-year-old female presented with a 2-month history of postprandial abdominal pain and weight loss. Upper gastrointestinal (UGI) series demonstrated SMA obstruction of the third portion of the duodenum. Despite nasojejunal tube feedings over 4 months with appropriate weight gain, symptoms continued and repeat UGI demonstrated persistent SMA syndrome. A laparoscopic Ladd's procedure served as definitive treatment. The steps of the procedure include mobilization of the Ligament of Treitz, mobilization of the right colon, complete derotation of the duodenum, delivery of the small bowel to the right upper quadrant, and appendectomy. Following the procedure, a postoperative UGI showed complete resolution of SMA compression of the duodenum. The patient had an uneventful postoperative course with immediate resolution of symptoms. She was discharged home tolerating a regular diet.
| Original language | English |
|---|---|
| Pages (from-to) | 1533-1535 |
| Number of pages | 3 |
| Journal | Journal of Pediatric Surgery |
| Volume | 49 |
| Issue number | 10 |
| DOIs | |
| State | Published - Jan 1 2014 |
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Keywords
- Adolescent
- Laparoscopy
- Superior mesenteric artery syndrome
- words
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
Cite this
Laparoscopic Ladd's procedure for superior mesenteric artery syndrome. / Alsulaimy, Mohammad; Tashiro, Jun; Perez, Eduardo; Sola, Juan E.
In: Journal of Pediatric Surgery, Vol. 49, No. 10, 01.01.2014, p. 1533-1535.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic Ladd's procedure for superior mesenteric artery syndrome
AU - Alsulaimy, Mohammad
AU - Tashiro, Jun
AU - Perez, Eduardo
AU - Sola, Juan E
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Superior mesenteric artery (SMA) syndrome is an uncommon condition where the third portion of the duodenum is compressed and obstructed between the SMA and the aorta. An otherwise healthy 17-year-old female presented with a 2-month history of postprandial abdominal pain and weight loss. Upper gastrointestinal (UGI) series demonstrated SMA obstruction of the third portion of the duodenum. Despite nasojejunal tube feedings over 4 months with appropriate weight gain, symptoms continued and repeat UGI demonstrated persistent SMA syndrome. A laparoscopic Ladd's procedure served as definitive treatment. The steps of the procedure include mobilization of the Ligament of Treitz, mobilization of the right colon, complete derotation of the duodenum, delivery of the small bowel to the right upper quadrant, and appendectomy. Following the procedure, a postoperative UGI showed complete resolution of SMA compression of the duodenum. The patient had an uneventful postoperative course with immediate resolution of symptoms. She was discharged home tolerating a regular diet.
AB - Superior mesenteric artery (SMA) syndrome is an uncommon condition where the third portion of the duodenum is compressed and obstructed between the SMA and the aorta. An otherwise healthy 17-year-old female presented with a 2-month history of postprandial abdominal pain and weight loss. Upper gastrointestinal (UGI) series demonstrated SMA obstruction of the third portion of the duodenum. Despite nasojejunal tube feedings over 4 months with appropriate weight gain, symptoms continued and repeat UGI demonstrated persistent SMA syndrome. A laparoscopic Ladd's procedure served as definitive treatment. The steps of the procedure include mobilization of the Ligament of Treitz, mobilization of the right colon, complete derotation of the duodenum, delivery of the small bowel to the right upper quadrant, and appendectomy. Following the procedure, a postoperative UGI showed complete resolution of SMA compression of the duodenum. The patient had an uneventful postoperative course with immediate resolution of symptoms. She was discharged home tolerating a regular diet.
KW - Adolescent
KW - Laparoscopy
KW - Superior mesenteric artery syndrome
KW - words
UR - http://www.scopus.com/inward/record.url?scp=84908119134&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84908119134&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2014.07.008
DO - 10.1016/j.jpedsurg.2014.07.008
M3 - Article
C2 - 25280662
AN - SCOPUS:84908119134
VL - 49
SP - 1533
EP - 1535
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 10
ER -