Paul S Cullis1, Maeve Gallagher2, Atul J Sabharwal3, Philip Hammond3. 1. Surgical registrar, Department of Surgical Paediatrics, Royal Hospital for Children, Glasgow, UK cullispaul@gmail.com. 2. Core surgical trainee, Department of Surgical Paediatrics, Royal Hospital for Children, Glasgow, UK. 3. Consultant paediatric surgeon, Department of Surgical Paediatrics, Royal Hospital for Children, Glasgow, UK.
Abstract
INTRODUCTION: Superior mesenteric artery syndrome is a rare condition characterised by nausea, vomiting, postprandial pain, anorexia and early satiety. Conservative management is tried initially, but if this fails, surgery is indicated. There are few reports in the literature concerning superior mesenteric artery syndrome in children, and fewer still managed surgically by minimally invasive means. CASE PRESENTATION: A 12-year-old girl presented with weight loss, early satiety and vomiting after corrective scoliosis surgery. After upper gastrointestinal endoscopy, contrast study and computed tomography imaging, a diagnosis of superior mesenteric artery syndrome was made. Conservative management by nasojejunal feeding failed; therefore, a laparoscopic duodeno-jejunostomy was undertaken. At follow-up, her symptoms had improved. CONCLUSION: This report describes the youngest child to undergo laparoscopic duodeno-jejunostomy for superior mesenteric artery syndrome. Laparoscopic duodeno-jejunostomy appears to be the most widely employed and reliable minimally invasive approach to superior mesenteric artery syndrome with a high success rate and acceptably low complication rate.
INTRODUCTION: Superior mesenteric artery syndrome is a rare condition characterised by nausea, vomiting, postprandial pain, anorexia and early satiety. Conservative management is tried initially, but if this fails, surgery is indicated. There are few reports in the literature concerning superior mesenteric artery syndrome in children, and fewer still managed surgically by minimally invasive means. CASE PRESENTATION: A 12-year-old girl presented with weight loss, early satiety and vomiting after corrective scoliosis surgery. After upper gastrointestinal endoscopy, contrast study and computed tomography imaging, a diagnosis of superior mesenteric artery syndrome was made. Conservative management by nasojejunal feeding failed; therefore, a laparoscopic duodeno-jejunostomy was undertaken. At follow-up, her symptoms had improved. CONCLUSION: This report describes the youngest child to undergo laparoscopic duodeno-jejunostomy for superior mesenteric artery syndrome. Laparoscopic duodeno-jejunostomy appears to be the most widely employed and reliable minimally invasive approach to superior mesenteric artery syndrome with a high success rate and acceptably low complication rate.
Authors: Roberto Cantella; Giuseppe Evola; Cristina Di Fidio; Marianna Iudica; Marco Patanè; Luigi Piazza Journal: Int J Surg Case Rep Date: 2022-04-06
Authors: Gabriel Alejandro Molina Proaño; María Mercedes Cobo Andrade; Ramiro Antonio Guadalupe Rodríguez; Patricio Fernando Gálvez Salazar; Diego Paul Cadena Aguirre; Gregorio Vicente González Poma; Bernardo Miguel Gutierrez Granja Journal: J Surg Case Rep Date: 2018-09-21