PDF(Pubmed)
Abstract：
Superior mesenteric artery syndrome is an acquired vascular compression disorder resulting from the compression of the third portion of the duodenum, which is the first part of the small intestine, leading to a reduction in the space between the aorta and the superior mesenteric artery. Although rare, superior mesenteric artery syndrome-induced pancreatitis has been documented in the literature. This article presents the case of a 20-year-old female patient with a history of colectomy for acute severe colitis, resulting in significant weight loss. She was admitted to the hospital with symptoms of upper bowel obstruction, and the diagnosis of superior mesenteric artery syndrome complicated by acute pancreatitis was made. The patient underwent a nutritional assistance program along with intravenous fluid therapy, resulting in positive outcomes. Superior mesenteric artery syndrome -induced pancreatitis is rarely reported and can be attributed to an occlusive post-papillary syndrome, which causes retrograde reflux of bile into the pancreatic duct, activating inflammation responsible for pancreatitis.
摘要：
肠系膜上动脉综合征是由十二指肠第三部分受压引起的获得性血管压迫障碍，这是小肠的第一部分，导致主动脉和肠系膜上动脉之间的空间缩小。虽然罕见，文献中已经记录了肠系膜上动脉综合征引起的胰腺炎.本文介绍了一名20岁女性患者的病例，该患者有急性严重结肠炎的结肠切除术史，导致明显的体重减轻。她入院时出现上肠梗阻的症状,诊断为肠系膜上动脉综合征并发急性胰腺炎。患者接受了营养援助计划以及静脉输液治疗，产生积极的结果。肠系膜上动脉综合征引起的胰腺炎很少报道，可归因于闭塞性后乳头状综合征。导致胆汁逆行回流到胰管,激活炎症负责胰腺炎。
