Case reports in gastrointestinal medicine · 2026
Superior Mesenteric Artery Syndrome After Previous Nuss Procedure: A Case Report of Anatomical Realignment With Unintended Consequences.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Wang Pin Wen, Wang Chun-Hsiang, Hsu Hui-Ting, Chou Yi-Wei
Аннотация
BACKGROUND: Superior mesenteric artery (SMA) syndrome is a rare condition resulting from compression of the third segment of the duodenum. The condition is associated with a reduction of the aortomesenteric angle and distance between the SMA and the abdominal aorta, often due to weight loss or anatomical changes. The Nuss procedure, a minimally invasive corrective procedure for pectus excavatum, may inadvertently alter this anatomy.
CASE PRESENTATION: We report a case of a 22-year-old male with a history of pectus excavatum who presented with two weeks of abdominal pain and vomiting. Abdominal A CT scan and esophagogastroduodenoscopy examinations were performed, revealing duodenal compression with a narrowed aortomesenteric distance of 6 mm, which is consistent with SMA syndrome. The patient then underwent laparoscopic duodenojejunostomy anastomosis bypass after failed conservative management with complete symptom resolution.
CONCLUSION: Clinicians should be aware of the potential development of SMA syndrome in patients following the Nuss procedure. Monitoring nutritional status and prompt evaluation of gastrointestinal symptoms are essential to early diagnosis and intervention.
CASE PRESENTATION: We report a case of a 22-year-old male with a history of pectus excavatum who presented with two weeks of abdominal pain and vomiting. Abdominal A CT scan and esophagogastroduodenoscopy examinations were performed, revealing duodenal compression with a narrowed aortomesenteric distance of 6 mm, which is consistent with SMA syndrome. The patient then underwent laparoscopic duodenojejunostomy anastomosis bypass after failed conservative management with complete symptom resolution.
CONCLUSION: Clinicians should be aware of the potential development of SMA syndrome in patients following the Nuss procedure. Monitoring nutritional status and prompt evaluation of gastrointestinal symptoms are essential to early diagnosis and intervention.