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princessSend an Instant Message to princess  




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Quick Scroll surgery 09.30.05 (3 years ago) #1
probable diagnosis of pt. wth pop cast presenting wth bilious vomitin is
duo. obstr.
ac. gastric dialatation
peritonitis
ac. pancreatitis
AIIMS NOV99
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Quick Scroll 10.01.05 (3 years ago) #2
duodenal obstruction.
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Quick Scroll 10.01.05 (3 years ago) #3
I think -Acute gastric Dilatation

Bilious Vomitting is usually caused by bile leaking from the intestines into the stomach. The bile acts as an irritant to the lining of the stomach.
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Quick Scroll 10.01.05 (3 years ago) #4
but how will PoP cast cause acute gastric dilation? yes i agree the presentation can be bilious vomitting.

this is wilkies syndrome-also called sup mesentric art syndrome.
here is the ref-
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i hope u agree action king and princess.
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Quick Scroll 10.01.05 (3 years ago) #5
I agree with princess.
Thank you for the explanation.
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Quick Scroll 10.01.05 (3 years ago) #6
ofcourse it is superiori mesentric artery syndrome
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Quick Scroll 10.03.05 (3 years ago) #7
so finally its gastric dialatation?
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Quick Scroll 10.03.05 (3 years ago) #8
no dear freind in superior mesentric aretery syndrome there will be dudenal obstruction due to pop cast.
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Quick Scroll 11.17.05 (3 years ago) #9
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Quick Scroll 11.18.05 (3 years ago) #10
yeah sorry it was nt so clear.


Superior mesenteric artery (SMA) syndrome is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum against the aorta by the SMA, resulting in chronic, intermittent, or acute complete or partial duodenal obstruction.

Important etiologic factors are those that may precipitate a narrowing of the aortomesenteric angle and result in chronically recurrent mechanical obstruction --one of these is use of body cast in treating scoliosis and vertebral fractures.

see this link and it wd be more clear--
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