篇名 |
Superior Mesentery Artery Syndrome in Post-Spinal Cord Injury Masquerading as Peptic Ulcer Disease |
作者 |
Shih-Min Huang, Yan-Shen Shan, Edgar D. Sy, Pin-Wen Lin, Yan-Shen Shan |
卷期/出版年月 |
33卷5期 (2000/10) |
頁次 |
229-233 |
摘要 |
A 56-year-old man, who was a victim of T12 spinal cord injury with paraplegia, developed peptic ulcer disease 4 years ago with massive bleeding in which an emergent truncal vagotomy and pyloroplasty were performed. Symptomatic peptic ulcer persisted accompanied by progressive poor oral intake despite conservative medical treatment. Computed tomography revealed dilatation of the third portion syndrom. Duodenojejunostomy was performed to relieve the obstruction. Post-operative course is uneventful. Among patients with intractable peptic ulcer disease associated with bed-ridden spinal cord injury, superior mesenteric artery (SMA) ayndrome should always be kept in mind and early surgical intervention is indicated. |
關鍵詞 |
doucdenojejunostomy, peptic ulcer disease, spinal cord injury, superior mesenteric artery (SMA) syndrome |
分類 |
Case report |