Superior Mesenteric Artery (SMA) Syndrome with Acute Pancreatitis

DOI
  • Sasaki Takahiro
    Digestive Disease Center, Toyoko Hospital, St. Marianna University School of Medicine
  • Furuhata Tomohisa
    Digestive Disease Center, Toyoko Hospital, St. Marianna University School of Medicine
  • Usui Sota
    Digestive Disease Center, Toyoko Hospital, St. Marianna University School of Medicine
  • Ono Tatsunori
    Digestive Disease Center, Toyoko Hospital, St. Marianna University School of Medicine
  • Noda Akiyoshi
    Digestive Disease Center, Toyoko Hospital, St. Marianna University School of Medicine
  • Miyajima Nobuyoshi
    Digestive Disease Center, Toyoko Hospital, St. Marianna University School of Medicine
  • Otsubo Takehito
    Division of Gastroenterological and General Surgery, St. Marianna University School of Medicine

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Other Title
  • 急性膵炎を合併した上腸間膜動脈症候群の1例

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<p>We report a case of superior mesenteric artery (SMA)syndrome with acute pancreatitis. The patient was an 80-year-old man who sought emergency consultation for abdominal fullness and vomiting. Blood examination showed increased white blood cells and total amylase level. On plain CT, the horizontal duodenum was compressed by the aorta and SMA, and fluid distention was observed from the esophagus to the stomach and duodenum. There was no enlargement of the pancreas, although fluid collection was observed around the pancreatic tail. The patient was diagnosed as having acute pancreatitis due to SMA syndrome, and he recovered with conservative treatment. SMA syndrome may be associated with acute pancreatitis.</p>

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