Superior mezenterik arter sendromlu hastada superior mezenterik arter trombozu birlikteliği: Olgu sunumu

Superior mezenterik arter (SMA) sendromu; bulantı, kusma ve epigastrik ağrı gibi semptomları olan nadir bir sendromdur. SMA sendromu ayrıca Wilkie sendromu, mezenterik kök sendromu, kronik duodenal ileus sendromu olarak da bilinir. SMA sendromu, duodenumun üçüncü bölümünün SMA ile aort arasındaki vasküler kompresyonudur. Bu yazıda, acil servise abdominal ağrı ve bilgisayarlı tomografi ile gösterilen superior mezenterik arterinin ilişkili trombozuyla başvuran SMA sendromlu yetişkin bir hastayı sunacağız. SMA sendromu nadir olduğundan ve semptomların sık görülmediğinden, bazı tanısal zorluklar ortaya çıkabilir ve bu hasta için gereksiz uzun süreli semptomatik tedavilere yol açacaktır. Bu hastalarda, karın ağrısının ayırıcı tanısında mezenterik arter trombozu düşünülmelidir.

Anahtar Kelimeler:

Superior mezenterik arter sendromu, Superior mezenterik arter trombozu, Akut abdomen, Wilkie sendromu

Superior mesenteric artery syndrome with superior mesenteric artery thrombosis: A case report

Superior mesenteric artery (SMA) syndrome is a rare syndrome with symptoms including nausea, vomiting and epigastric pain. SMA syndrome is also known as Wilkie’s syndrome, mesenteric root syndrome, chronic duodenal ileus syndrome. SMA syndrome is vascular compression of the third part of the duodenum between the SMA and the aorta. In this article, we will present an adult patient with SMA syndrome who was admitted to the emergency service with abdominal pain and associated thrombosis of her superior mesenteric artery, demonstrated by computed tomography. Since SMA syndrome is rare and symptoms are not frequent, some diagnostic difficulties might happen and this will lead unnecessary long-term symptomatic treatments for the patient. In such patients, mesenteric artery thrombosis should be considered in differential diagnosis of abdominal pain.

Keywords:

Acute abdomen, Superior mesenteric artery syndrome, Superior mesenteric artery thrombosis, Wilkie's syndrome,

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