A Case of a Gastric Bezoar Combined with Superior Mesenteric Artery Syndrome.
- Author:
Min Kyoung KANG
1
;
Chang Il KWON
;
Ji Eun LEE
;
Yong Hun KIM
;
Kwang Hyun KO
;
Sung Pyo HONG
;
Pil Won PARK
;
Hee Jin KIM
Author Information
1. Department of Internal Medicine, College of Medicine,Pochon CHA University, Seongnam, Korea. endoscopy@cha.ac.kr
- Publication Type:Case Report
- Keywords:
SMA syndrome;
Bezoar;
Argon plasma coagulation
- MeSH:
Abdominal Pain;
Aorta;
Argon;
Argon Plasma Coagulation;
Bezoars;
Catheters;
Duodenum;
Endoscopy;
Humans;
Inflation, Economic;
Mesenteric Artery, Superior;
Middle Aged;
Phenobarbital;
Plasma;
SNARE Proteins;
Superior Mesenteric Artery Syndrome;
Tomography, Spiral Computed;
Weight Loss
- From:Korean Journal of Gastrointestinal Endoscopy
2008;37(4):271-275
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Superior mesenteric artery syndrome is caused by compression of the third part of the duodenum between the superior mesenteric artery (SMA) and the aorta. Recently, we experienced a case of a gastric bezoar combined with SMA syndrome. A 58-year-old man presented with upper abdominal pain, bloating and weight loss of 5 kg. An endoscopic examination identified a huge gastric bezoar. The bezoar was broken and fragmented into small pieces using an argon plasma coagulator and endoscopic snare catheter. Hypotonic duodenography showed a longitudinal linear band that was presumed to be a vascular impression of the third portion of the duodenum and contrast-enhanced spiral CT showed a reduced distance of 8.4 mm but a normal angle of 38.5degrees between the arota and the SMA. A second endoscopic examination demonstrated prominent pulsations that compressed the duodenal wall at the third portion. Luminal expansion with full inflation of air was not attempted under endoscopy.
