급성 위장염 후 발생한 상장간막 동맥 증후군 1예
A Case Report of Superior Mesenteric Artery Syndrome after Acute Gastroenteritis
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초록
상장간막 동맥 증후군(superior mesenteric artery syndrome)은 상장간막 동맥에 의해서 십이지장이 압박을 받음으로써소장 폐쇄가 일어나는 질환이다. 해부학적으로 복부 대동맥과 상장간막 동맥 사이에는 장간막 지방층이 있어서 각도가유지되는데, 어떤 원인으로 인하여 지방조직이 감소하면 두동맥 사이의 각이 줄어들고 간격이 좁아지면 십이지장의 제3부위에 해당하는 횡행부가 압박을 받아 소장 폐쇄가 발생하는 병으로 원인은 화상, 악성종양, 외상에 의한 석고 붕대, 척추질환으로 수술, 섭식장애 또는 흡수장애 등이 알려져 있다. 드물게 28세 여자환자가 급성위장염으로 인한 체중감소로 상장간막 동맥 증후군이 발생하여 입원하여 보존치료 후 회복하였기에 이를 증례보고 한다.
Abstract
The most common cause of small bowel obstruction is postoperative adhesion, and besides a hernia, metastatic or primary cancer and small bowel tumors are possible causes. Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction and is associated with debilitating conditions with marked weight loss. SMA syndrome results from the compression of the third part of the duodenum due to the narrowing of the aortomesenteric angle. We report a 28-year-old woman with SMA syndrome after acute gastroenteritis. Her stomach was severely dilated due to the duodenal obstruction and computed tomography showed the compression of the third portion of the duodenum by SMA. She was conservatively cared for and thus favorably improved.
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