Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report
A 55-year-old woman with non-small cell lung carcinoma complained of epigastric pain, bloating, anorexia and postprandial nausea and vomiting over a five-year period. An upper gastrointestinal pan-glucosamine contrast examination revealed a distinctive large, hook-shaped, ptotic gastric lumen with n...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024174026 |
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| author | Xu Zhang Wenyu Sun Ming Yao Qiu Xia Qing Zhang Shuai Guo Lixia Ma Ze Li |
| author_facet | Xu Zhang Wenyu Sun Ming Yao Qiu Xia Qing Zhang Shuai Guo Lixia Ma Ze Li |
| author_sort | Xu Zhang |
| collection | DOAJ |
| description | A 55-year-old woman with non-small cell lung carcinoma complained of epigastric pain, bloating, anorexia and postprandial nausea and vomiting over a five-year period. An upper gastrointestinal pan-glucosamine contrast examination revealed a distinctive large, hook-shaped, ptotic gastric lumen with normal motility. The contrast agent demonstrated an abnormal round-trip flow anterior to the spine at the duodenal level, with pooling and gradual passage through this region in strands after prolonged retention. Contrast-enhanced computed tomography of the abdomen revealed an abnormal proximity between the superior mesenteric vein (SMV) and the abdominal aorta (AA). The images clearly showed external compression of the third part of the duodenum as it traversed between the SMV and AA, where the distance between the SMV and AA measured 4.7 mm. It was considered that the compression of the duodenum between the SMV and AA in the patient resulted in intermittent duodenal obstruction. |
| format | Article |
| id | doaj-art-e7ffc65e120e4847a357171c4594d9c0 |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-e7ffc65e120e4847a357171c4594d9c02025-01-17T04:51:04ZengElsevierHeliyon2405-84402025-01-01111e41371Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case reportXu Zhang0Wenyu Sun1Ming Yao2Qiu Xia3Qing Zhang4Shuai Guo5Lixia Ma6Ze Li7Department of Colorectal and Stomach Cancer Surgery-1, Jilin Cancer Hospital, Changchun, Jilin Province, ChinaDepartment of Thoracic Oncology, Jilin Cancer Hospital, Changchun, Jilin Province, ChinaRdriving Instructorology, Jilin Cancer Hospital, Changchun, Jilin Province, ChinaDepartment of Anesthesiology, China-Japan Union Hospital of Jilin Universit, Changchun, Jilin Province, ChinaDepartment of Abdominal Oncology Surgery, Jilin Cancer Hospital, Changchun, Jilin Province, ChinaDepartment of Colorectal and Stomach Cancer Surgery-1, Jilin Cancer Hospital, Changchun, Jilin Province, ChinaDepartment of Thoracic Oncology, Jilin Cancer Hospital, Changchun, Jilin Province, China; Corresponding author.Department of Colorectal and Stomach Cancer Surgery-1, Jilin Cancer Hospital, Changchun, Jilin Province, China; Corresponding author. Department of Colorectal and Stomach Cancer Surgery-1, Jilin Cancer Hospital. Adress: 1018 Huguang Road, Changchun, Jilin Province, 130015, China.A 55-year-old woman with non-small cell lung carcinoma complained of epigastric pain, bloating, anorexia and postprandial nausea and vomiting over a five-year period. An upper gastrointestinal pan-glucosamine contrast examination revealed a distinctive large, hook-shaped, ptotic gastric lumen with normal motility. The contrast agent demonstrated an abnormal round-trip flow anterior to the spine at the duodenal level, with pooling and gradual passage through this region in strands after prolonged retention. Contrast-enhanced computed tomography of the abdomen revealed an abnormal proximity between the superior mesenteric vein (SMV) and the abdominal aorta (AA). The images clearly showed external compression of the third part of the duodenum as it traversed between the SMV and AA, where the distance between the SMV and AA measured 4.7 mm. It was considered that the compression of the duodenum between the SMV and AA in the patient resulted in intermittent duodenal obstruction.http://www.sciencedirect.com/science/article/pii/S2405844024174026Superior mesenteric vein (SMV)Abdominal aortaIntestinal obstructionCompression of the duodenum |
| spellingShingle | Xu Zhang Wenyu Sun Ming Yao Qiu Xia Qing Zhang Shuai Guo Lixia Ma Ze Li Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report Heliyon Superior mesenteric vein (SMV) Abdominal aorta Intestinal obstruction Compression of the duodenum |
| title | Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report |
| title_full | Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report |
| title_fullStr | Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report |
| title_full_unstemmed | Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report |
| title_short | Partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle-aged woman: A case report |
| title_sort | partial intestinal obstruction caused by duodenal obstruction by the superior mesenteric artery and abdominal aorta in a middle aged woman a case report |
| topic | Superior mesenteric vein (SMV) Abdominal aorta Intestinal obstruction Compression of the duodenum |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024174026 |
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