PT  - JOURNAL ARTICLE
AU  - Baraa K. Alnabulsi
AU  - Jameel T. Miro
AU  - Osama H. Faidah
AU  - Mahmoud A. Hamo
TI  - Laparoscopic duodenojejunostomy omega loop with braun anastomosis as a treatment for superior mesenteric artery syndrome
DP  - 2011 Feb 01
TA  - Saudi Medical Journal
PG  - 188--191
VI  - 32
IP  - 2
4099  - http://smj.org.sa/content/32/2/188.short
4100  - http://smj.org.sa/content/32/2/188.full
SO  - Saudi Med J2011 Feb 01; 32
AB  - Superior mesenteric artery (SMA) syndrome is a rare clinical phenomenon caused by compression of the third portion of the duodenum by the overlying SMA, and can be easily misdiagnosed. We report a case of SMA syndrome treated with laparoscopic duodenojejunostomy omega loop with Braun anastomosis. A 24-year-old women with body mass index of 14.9 presented with a 4-year history of vague abdominal pain mainly at the epigastric region, radiating to the back associated with heartburn, repeated vomiting, and significant loss of weight during the previous 6 months. The case was misdiagnosed as acute pancreatitis. The SMA syndrome was diagnosed using CT-scan and fluoroscopy. Laparoscopic omega loop with Braun anastomosis was preformed. She did well postoperatively, and Gastrografin study showed no leak and a patent anastomosis. She was subsequently discharged on regular diet.