Superior mesenteric artery syndrome due to an aortic aneurysm in a renal transplant recipient

被引:7
作者
Kim, HR [1 ]
Park, MW [1 ]
Lee, SS [1 ]
Shin, MJ [1 ]
Park, JH [1 ]
Yang, CW [1 ]
Kim, YS [1 ]
Koh, YB [1 ]
Moon, IS [1 ]
Bang, BK [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Kangnam St Marys Hosp, Dept Internal Med & Surg, Seoul 137040, South Korea
关键词
superior mesenteric artery syndrome; aortic aneurysm; kidney transplantation; hypertension;
D O I
10.3346/jkms.2002.17.4.552
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Superior mesenteric artery (SMA) syndrome is a rare disease in which the third portion of the duodenum is compressed by SMA. There are many causes leading to the SMA syndrome, however it's extremely rare that aortic aneurysm causes a SMA syndrome. We report a case of a successfully treated SMA syndrome due to an abdominal aortic aneurysm in a renal transplant recipient. The patient was a 52-yr-old woman with a thin stature (weight 40 kg, height 164 cm). She received a renal transplant 8 yr before, and had hypertension and abdominal aortic aneurysm. Her SMA syndrome developed in a prolonged supine position for the accidental rib fractures and was diagnosed by clinical and radiological findings. After a surgical correction (resection of an aneurysm and aortobiiliac bypass with an inverted Y graft), her symptoms relieved without deterioration of the graft function.
引用
收藏
页码:552 / 554
页数:3
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