It was observed following detorsion that cecum was located on the left upper quadrant; ascending colon was adherent to duodenum, which was descending straight down, with Ladd's bands; and mesenteric
veins were enlarged and lying anterior to duodenum towards the portal vein.
Isolated superior mesenteric
artery dissection in China.
Histopathological examination confirmed mesenteric
(3) This represents bowel wall within bowel wall and central echogenic mesenteric
Edema-induced mural thickening in the duodenum and the location of superior mesenteric
vein to the left and anterior to superior mesenteric
artery are diagnostic signs (4).
 reported an obstructive mesenteric
root hyaline-vascular CD, that necessitated mass excision with segmental jejunal resection through open abdominal approach.
artery syndrome may present acutely or chronically.
defects often occur in small bowel mesentery and less commonly in colonic mesentery.
vein thrombosis is an uncommon disease associated with acute abdomen, and many risk factors have been identified such as intra-abdominal or hematological causes, patent or latent myeloproliferative syndrome, protein C or S, and antithrombin III or plasminogen activator deficiencies. Unfortunately, no obvious etiology could be identified for this case in spite of intensive examinations.
lymphadenitis can further mimic urolithiasis, which is not a surgical emergency and does not need surgery (Figure 2).
artery (SMA) syndrome, also known as Wilkie's syndrome, was first described by Rokitansky in 1861.
When preoperative CT or MRI showed tumor involvement of the celiac axis and/or the common hepatic artery (CHA) but no affiliation to the superior mesenteric
artery (SMA) or the gastroduodenal artery (GDA), patients were further evaluated for distal celiacopancreatectomy.