Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 12

Intestinal Obstruction Due to Duodenal Malrotation Successfully Managed by Duodeno-jejunal Derivation on Roux's Loop

Shailesh Khandekar1* and Revati Khandekar2

1Assistant Professor, General Surgery, N.Y. Tasgaokar Institute of Medical Sciences, Karjat, Maharashtra, India

2PPC MO, Brihanmumbai Municipal Corporation Hospitals, Mumbai, India

*Corresponding Author: Shailesh Khandekar, Assistant Professor, General Surgery, N.Y. Tasgaokar Institute of Medical Sciences, Karjat, Maharashtra, India.

Received: November 14, 2022; Published: November 25, 2022

Abstract

Superior Mesentric Artery Syndrome (SMAS) is a rare entity due to compression of the duodenum between the SMA and Aorta. Very rarely, this syndrome can be present in a pre-existing anatomy of congenital malrotation of the duodenum. We describe case of the intestinal obstruction in a 21-year-old woman due to undiagnosed congenital duodenal malrotation presenting with SMAS. The current literature, diagnostic modalities and management options are discussed.

Keywords: Congenital Duodenal Malrotation; Superior Mesenteric Artery Syndrome; Wilkie Syndrome; Arteriomesenteric Occlusion of the Duodenum

References

  1. Karrer FM. “Superior Mesenteric Artery Syndrome”. Medscape Reference. January 6, (2017).
  2. Gerasimidis T and George F. “Superior Mesenteric Artery Syndrome. Wilkie Syndrome”. Digestive Surgery3 (2009): 213-214.
  3. Shiu JR., et al. “Clinical and nutritional outcomes in children with idiopathic superior mesenteric artery syndrome”. Journal of Pediatric Gastroenterology and Nutrition2 (2010): 177-82.
  4. Lee TH., et al. “Superior mesenteric artery syndrome: where do we stand today?” Journal of Gastrointestinal Surgery 16 (2012): 2203-2211.
  5. Hillyard J., et al. “Gastrointestinal: Reversal of superior mesenteric artery syndrome following pregnancy”. Journal of Gastroenterology and Hepatology3 (2019): 486.
  6. Merrett Neil., et al. “Superior Mesenteric Artery Syndrome: Diagnosis and Treatment Strategies”. Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract 13 (2008): 287-292.
  7. Kyslan K., et al. “Superior mesenteric artery (SMAS/AMS) syndrome and its management”. Rozhl Chir.5 (2008): 255-258.
  8. Wilson-Storey D and MacKinlay GA. “The superior mesenteric artery syndrome”. The Royal College of Surgeons of Edinburgh 3 (1986): 175-178.
  9. Gudumac E., et al. “Ocluzii duodenale cronice la copii. Probleme de diagnostic și tratament. [Chronic duodenal occlusions in children. Diagnostic and treatment problems]”. Analele Ştiinţifice (Asociaţia Chirurgilor Pediatri Universitari din RM) Numărul XVIII (2013): 4-7.
  10. Bauer Adalbert. “Subocluzia duodenală intermitentă la copii. Studiu clinic și radiologic [Intermittent duodenal subocclusion in children. Clinical and radiological study]”. Revista Corpului Medical Sătmărean. Publicată de Colegiul Medicilor SatuMare. A 4-a ediţie a Zilelor Medicale Sătmărene, 4-6 octombrie (2007): 4-9.
  11. Zaraket V and Deeb L. “Wilkie's Syndrome or Superior Mesenteric Artery Syndrome: Fact or Fantasy”. Case Reports in Gastroenterology 9 (2015): 194-199.
  12. Gwee K., et al. “Acute superior mesenteric artery syndrome and pancreatitis in anorexia nervosa”. Australas Psychiatry6 (2010): 523-526.
  13. Rui Zhang., et al. “Diagnosis and treatment of superior mesenteric artery compression syndrome complicated with gastroesophageal reflux disease”. Chinese Medical Journal11 (2021): 1382-1384.
  14. Ganss A., et al. “Superior Mesenteric Artery Syndrome: a Prospective Study in a Single Institution”. Journal of Gastrointestinal Surgery 5 (2019): 9971005.
  15. Silva G., et al. “Iatrogenic superior mesenteric artery syndrome”. Revista Espanola de Enfermedades Digestivas 11 (2018): 742-743.
  16. Young A., et al. “Intermittent superior mesenteric artery syndrome in a patient with multiple sclerosis”. Radiology Case Reports 6 (2016): 1108-1111.
  17. Van Horne N and Jackson JP. “Superior Mesenteric Artery Syndrome”. [Updated 2021 Jul 21]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; (2022).
  18. Naseem Z., et al. “"Less is more": Non operative management of short term superior mesenteric artery syndrome”. Annals of Medicine and Surgery (Lond).4 (2015): 428-430.
  19. Mandarry MT., et al. “A comprehensive review of superior mesenteric artery syndrome”. European Surgery 42 (2010): 229-236 .
  20. Ha CD., et al. “Duodenal derotation as an effective treatment of superior mesenteric artery syndrome: a thirty-three year experience”. American Surgery 7 (2008): 644-653.
  21. Pottorf BJ., et al. “Laparoscopic management of duodenal obstruction resulting from superior mesenteric artery syndrome”. JAMA Surgery12 (2014): 1319-1322.
  22. Kirby GC., et al. “Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice”. Annals of The Royal College of Surgeons of England 6 (2017): 472-475.
  23. Valiathan G., et al. “A Case Series on Superior Mesenteric Artery Syndrome Surgical Management, Single Institution Experience”. Journal of Clinical and Diagnostic Research 8 (2017): PR01-PR03.

Citation

Citation: Shailesh Khandekar and Revati Khandekar. “Intestinal Obstruction Due to Duodenal Malrotation Successfully Managed by Duodeno-jejunal Derivation on Roux's Loop". Acta Scientific Gastrointestinal Disorders 5.12 (2022): 32-36.

Copyright

Copyright: © 2022 Shailesh Khandekar and Revati Khandekar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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