Laparoscopic Ladd's procedure for superior mesenteric artery syndrome

Mohammad Alsulaimy, Jun Tashiro, Eduardo Perez, Juan E Sola

Research output: Contribution to journalArticle

5 Citations (Scopus)

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 languageEnglish
Pages (from-to)1533-1535
Number of pages3
JournalJournal of Pediatric Surgery
Volume49
Issue number10
DOIs
StatePublished - Jan 1 2014

Fingerprint

Superior Mesenteric Artery Syndrome
Duodenum
Superior Mesenteric Artery
Appendectomy
Enteral Nutrition
Ligaments
Abdominal Pain
Weight Gain
Aorta
Weight Loss
Colon
Diet

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 journalArticle

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