Abstract
This report describes a newborn female with extrinsic duodenal obstruction by the right colic artery, a variant of the superior mesenteric artery syndrome. The condition was succesfuully treated surgically by mobilization of the right colon and its blood supply off of the duodenum. This is a rare case of extrinsic vascular compression of the duodenum in a newborn without malrotation or a preduodenal portal vein. A review of the literature and discussion is included.
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References
Akin JT, Gray SW, Skandalakis JE (1976) Vascular compression of the duodenum. Surgery 79: 515–522
Akin JT, Skandalakis JE, Gray SW (1974) The anatomic basis of vascular compression of the duodenum. Surg Clin North Am 64: 1361–1368
Anderson JR (1982) Extrinsic compression of the third portion of the duodedum. Clin Radiol 33: 75–81
Bergman RA, Thompson SA, Afifi AK (1988) Compendium of human anatomic variation. Urban and Schwarzenberg, Baltimore Munich
Bitner WP (1958) Arteriomesenteric occlusion of the duodenum. AJR Am J Roentgenol 79: 807–814
Buchanon EP (1935) Congenital duodenal obstruction from anomalous mesenteric vessels. Am J Surg 30: 499–501
Esscher T (1980) Preduodenal portal vein: a cause of intestinal obstruction? J Pediatr Surg 15: 609–612
Georgacopulo P, Vigi V (1980) Duodenal obstruction due to a preduodenal portal vein in a newborn. J Pediatr Surg 15: 339–340
Gondos B (1977) Duodenal compression defect and the “superior mesenteric artery syndrome”. Radiology 123: 575–580
Gray S, Skandalakis JE (1972) Embryology for surgeons, 1st edn. WB Saunders, Philadelphia, pp 178–180
Gray SW, Skandalakis JE, Rowe JS (1984) Vascular compression of the duodenum. In: Nyhus LM, Baker RJ (eds) Mastery of surgery. Little, Brown and co, Boston Toronto, pp 614–622
Gustafsson L, Falk A, Luks PJ, Gamklou R (1984) Diagnosis and treatment of superior mesenteric artery syndrome. Br J Surg 71: 499–501
Jones PA, Wastell C (1983) Superior mesenteric artery syndrome. Postgrad Med J 59: 376–379
Kaiser G, McKain M, Schumacher H (1960) The superior mesenteric artery syndrome. Surg Gynecol Obstet 110: 133
Lee CS, Mangla JC (1978) Superior mesenteric artery compression syndrome. Am J Gastroenterol 70: 141–150
Marchant EA, Alvear DT, Fagelman KM (1982) True clinical entity of vascular compression of the duodenum in adolescents. Surg Gynecol Obstet 168: 381–386
Ortiz VN, Major JE (1977) Vascular compression of the duodenum. Am J Gastroenterol 67: 270–273
Prouty M, Waskow W (1958) Duodenal compression by the mesenteric artery. J Pediatr 50: 734
Taylor MT, Hollander RJ (1963) Arteriomesenteric duodenal obstruction in the newborn infant. Pediatrics 31: 1049
Wayne ER, Burrington JD (1972) Duodenal obstruction by the superior mesenteric artery in children. Surgery 72: 762–768
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Boyer, K., Parker, P. Vascular compression of the duodenum in a newborn. Pediatr Surg Int 7, 389–391 (1992). https://doi.org/10.1007/BF00176603
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DOI: https://doi.org/10.1007/BF00176603