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Superior mesenteric artery syndrome as a complication of ileal pouch-anal anastomosis

Report of a case

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: Duodenal compression by the superior mesenteric artery following total proctocolectomy and ileal pouch-anal anastomosis is a rare occurrence. Previous surgical treatment involved duodenal division. The aim of this report was to describe a case with such a complication and to discuss an operative alternative. METHODS: Case report. RESULTS: Mobilization of the duodenum from its retroperitoneal attachments, without transection and reanastomosis, allowed the free passage of gas through the duodenum and recovery for the patient. CONCLUSION: This case report suggests that a more conservative approach may be successful in managing this complication.

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Authors and Affiliations

  1. Department of Surgery, Unit of Colo-Proctology, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil

    Ricardo N. Goes M.D., Claudio S. R. Coy M.D., Carlos A. Amaral M.D., Joao J. Fagundes M.D. & Raul R. Medeiros M.D.

  2. Division of Colorectal Surgery, University of Southern California, Los Angeles, California

    Ricardo N. Goes M.D.

Authors
  1. Ricardo N. Goes M.D.
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  2. Claudio S. R. Coy M.D.
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  3. Carlos A. Amaral M.D.
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  4. Joao J. Fagundes M.D.
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  5. Raul R. Medeiros M.D.
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Additional information

Dr. Goes is supported at the University of Southern California by grants from the Fundacao de Amparo a Pesquisa do Estado de Sao Paulo-FAPESP, Brazil.

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Goes, R.N., Coy, C.S.R., Amaral, C.A. et al. Superior mesenteric artery syndrome as a complication of ileal pouch-anal anastomosis. Dis Colon Rectum 38, 543–544 (1995). https://doi.org/10.1007/BF02148857

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  • DOI: https://doi.org/10.1007/BF02148857

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