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Schwarz J, Sýkora J, Pomahačová R, Sýkorová A, Fremuth J, Šašek L, Vondráková R, Kreslová M. Rare cause of upper bowel obstruction arising in a 17-year-old boy with cystic fibrosis: Superior mesenteric artery (Wilkie's) syndrome. J Paediatr Child Health 2020; 56:1827-1829. [PMID: 32364286 DOI: 10.1111/jpc.14904] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 04/01/2020] [Accepted: 04/06/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Jan Schwarz
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
| | - Josef Sýkora
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
| | - Renáta Pomahačová
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
| | - Aneta Sýkorová
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
| | - Jiří Fremuth
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
| | - Lumír Šašek
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
| | - Renáta Vondráková
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Imaging Methods, Charles University in Prague, Pilsen, The Czech Republic
| | - Marcela Kreslová
- Faculty of Medicine in Pilsen, Faculty Hospital, Department of Paediatrics, Charles University in Prague, Pilsen, The Czech Republic
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Superior mesenteric artery syndrome after lung transplantation: a rare early gastrointestinal complication of lung transplantation. Surg Today 2017; 47:1415-1418. [PMID: 28364397 DOI: 10.1007/s00595-017-1513-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Accepted: 03/06/2017] [Indexed: 12/31/2022]
Abstract
Gastrointestinal complications sometimes occur after lung transplantation and remain a cause of postoperative morbidity. Superior mesenteric artery syndrome is caused by the compression of the duodenum by the superior mesenteric artery, but few reports have described superior mesenteric artery syndrome after lung transplantation. We herein report two cases of superior mesenteric artery syndrome as an early complication after lung transplantation. Both patients were emaciated and had lost weight before transplantation. They also lost an additional 2-4 kg early after transplantation. They were medically treated with enteral nutrition and recovered without recurrence of the syndrome. Since critically ill patients with pulmonary disease usually lose weight both before and early after lung transplantation, superior mesenteric artery syndrome is important to consider in the differential diagnosis of gastrointestinal complications after transplantation.
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