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Case Reports in Medicine
Volume 2009 (2009), Article ID 426162, 4 pages
http://dx.doi.org/10.1155/2009/426162
Case Report

Gastric Perforation and Pancreatitis Manifesting after an Inadvertent Nissen Fundoplication in a Patient with Superior Mesenteric Artery Syndrome

Division of Emergency Surgery, Department of Surgery, Keck School of Medicine, University of Southern California Medical Center and Los Angeles County Hospital, Los Angeles, CA 90033, USA

Received 13 March 2009; Accepted 13 July 2009

Academic Editor: Kent-Man Chu

Copyright © 2009 Mikael Petrosyan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Superior mesenteric artery (SMA) syndrome is an uncommon but well-recognized clinical entity. It can lead to proximal small bowel obstruction and severe morbidity and mortality in lieu of late diagnosis and concomitant existing comorbidities. We report a 54-year-old female, with SMA syndrome which manifested itself after Nissen fundoplication along with two major complications. The diagnosis of SMA was established by clinical symptoms and radiological findings.