scholarly journals Small bowel obstruction by superior mesenteric artery syndrome: A diagnosis to know after intensive care stay

2012 ◽  
Vol 55 ◽  
pp. e364
Author(s):  
S. Chapeau ◽  
B. Glize ◽  
M. Barsan ◽  
L. Tell ◽  
G. Rode
2020 ◽  
Vol 17 (2) ◽  
pp. 85-87
Author(s):  
Suzanne Nyakirugumi ◽  
Mathenge Nduhiu

Peritoneal bands resulting in small bowel obstruction in adults are rare. We present a case study of a 39-year-old male who presented with a 10-day history of signs and symptoms of intestinal obstruction. The patient had no history of abdominal trauma or surgery. Intraoperatively, the small bowel obstruction was caused by a vascularized peritoneal band that had a membrane. The band formed a closed loop and caused the small bowel to herniate and lead to mechanical obstruction. In the band was an anomalous artery that connected the ileocolic artery to the descending branch of the left colic artery. The mainstay for diagnosis is an exploratory laparoscopy or laparotomy. The definitive treatment is transection of the band. This is the first reported case in Sub-Saharan Africa. Keywords: Small bowel obstruction, Congenital bands, Peritoneal bands, Vascular bands, Inferior mesenteric artery, Superior mesenteric artery


2020 ◽  
Vol 102 (1) ◽  
pp. e12-e14
Author(s):  
JJ Neville ◽  
E Sharma ◽  
A al-Muzrakchi ◽  
H Sheth

Malrotation is part of a spectrum of small and large bowel positional and fixational abnormalities caused by the failure of the fetal intestine to complete a 270-degree rotation around the superior mesenteric artery axis. Rarely, it presents in the adult as a cause of acute small bowel obstruction. Chronic symptoms of malrotation in adults are subtle, and include intermittent abdominal pain, nausea and vomiting. We present two cases of malrotation in octogenarian men presenting acutely with small bowel obstruction. Both patients were treated with emergency surgery. In one case the chronic symptoms resolved postoperatively. Malrotation and midgut volvulus should be considered as a rare differential diagnosis for small bowel obstruction in adults. Suspicions should be increased when there is a history of recurrent presentations with similar symptoms.


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