Superior Mesenteric Artery Syndrome Caused by Huge Mycotic Abdominal Aortic Aneurysm

被引：9

作者：

Saraya, Takeshi ^{[1
,2
]}

Kurai, Daisuke ^{[1
]}

Ariga, Masae ^{[2
]}

Nakamoto, Keitaro ^{[1
,2
]}

Koide, Takashi ^{[1
]}

Tamura, Masaki ^{[1
]}

Higaki, Manabu ^{[1
]}

Ito, Takayoshi ^{[2
,3
]}

Yoshida, Hitoshi ^{[2
,3
]}

Tanabe, Eiichi ^{[4
]}

Tanabe, Mitsuko ^{[2
]}

Goto, Hajime ^{[1
]}

机构：

[1] Kyorin Univ, Sch Med, Dept Resp Med, Mitaka, Tokyo 181, Japan

[2] Jiundo Naika Hosp, Dept Internal Med, Mitaka, Tokyo, Japan

[3] Showa Univ, Sch Med, Dept Gastroenterol, Tokyo 142, Japan

[4] Jiundo Naika Hosp, Dept Psychiat, Mitaka, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2009年 / 48卷 / 12期

关键词：

mycotic aneurysm; superior mesenteric artery (SMA) syndrome intermittent shaking chill; bilious vomiting; pulsatile abdominal mass; DUODENAL OBSTRUCTION;

D O I：

10.2169/internalmedicine.48.1684

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 92-year-old man who had been hospitalized for dementia developed sudden-onset bilious vomiting accompanied by a fever of 40.. Physical examination revealed an 8 cm diameter pulsatile mass in the upper abdomen. Computed tomography of the abdomen demonstrated a huge infrarenal saccular aneurysm with a lobulated appearance. We considered this to be a mycotic abdominal aortic aneurysm compressing the third portion of the duodenum and causing proximal duodenal dilatation and superior mesenteric artery (SMA) syndrome.

引用

页码：1065 / 1068

页数：4

共 15 条

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[2]

CULL DL, 1992, J CARDIOVASC SURG, V33, P181

[3]

EDWARDS KC, 1984, AM J GASTROENTEROL, V79, P72

[4] Surgical mortality in patients with infected aortic aneurysms [J].