Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report
<p>Abstract</p> <p>Introduction</p> <p>Obstruction of the third part of the duodenum by the superior mesenteric artery (SMA) can occur following surgical correction of scoliosis. The condition most commonly occurs in significantly underweight patients with severe deform...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-01-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/2/1/9 |
| _version_ | 1811299092474626048 |
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| author | Tsirikos Athanasios I Anakwe Raymond E Baker Alexander DL |
| author_facet | Tsirikos Athanasios I Anakwe Raymond E Baker Alexander DL |
| author_sort | Tsirikos Athanasios I |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Obstruction of the third part of the duodenum by the superior mesenteric artery (SMA) can occur following surgical correction of scoliosis. The condition most commonly occurs in significantly underweight patients with severe deformities during the first few days to a week following spinal surgery.</p> <p>Case presentation</p> <p>We present the atypical case of a patient with normal body habitus and a 50° adolescent idiopathic thoracolumbar scoliosis who underwent anterior spinal arthrodesis with instrumentation and developed SMA syndrome due to progressive weight loss several weeks postoperatively. The condition manifested with recurrent vomiting, abdominal distension, marked dehydration, and severe electrolyte disorder. Prolonged nasogastric decompression and nasojejunal feeding resulted in resolution of the symptoms with no recurrence at follow-up. The spinal instrumentation was retained and a solid spinal fusion was achieved with good spinal balance in both the coronal and sagittal planes.</p> <p>Conclusion</p> <p>SMA syndrome can occur much later than previously reported and with potentially life-threatening symptoms following scoliosis correction. Early recognition of the condition and institution of appropriate conservative measures is critical to prevent the development of severe complications including the risk of death.</p> |
| first_indexed | 2024-04-13T06:30:03Z |
| format | Article |
| id | doaj.art-52e8b4691bba45c488a071d41b5629a2 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-13T06:30:03Z |
| publishDate | 2008-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-52e8b4691bba45c488a071d41b5629a22022-12-22T02:58:11ZengBMCJournal of Medical Case Reports1752-19472008-01-0121910.1186/1752-1947-2-9Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case reportTsirikos Athanasios IAnakwe Raymond EBaker Alexander DL<p>Abstract</p> <p>Introduction</p> <p>Obstruction of the third part of the duodenum by the superior mesenteric artery (SMA) can occur following surgical correction of scoliosis. The condition most commonly occurs in significantly underweight patients with severe deformities during the first few days to a week following spinal surgery.</p> <p>Case presentation</p> <p>We present the atypical case of a patient with normal body habitus and a 50° adolescent idiopathic thoracolumbar scoliosis who underwent anterior spinal arthrodesis with instrumentation and developed SMA syndrome due to progressive weight loss several weeks postoperatively. The condition manifested with recurrent vomiting, abdominal distension, marked dehydration, and severe electrolyte disorder. Prolonged nasogastric decompression and nasojejunal feeding resulted in resolution of the symptoms with no recurrence at follow-up. The spinal instrumentation was retained and a solid spinal fusion was achieved with good spinal balance in both the coronal and sagittal planes.</p> <p>Conclusion</p> <p>SMA syndrome can occur much later than previously reported and with potentially life-threatening symptoms following scoliosis correction. Early recognition of the condition and institution of appropriate conservative measures is critical to prevent the development of severe complications including the risk of death.</p>http://www.jmedicalcasereports.com/content/2/1/9 |
| spellingShingle | Tsirikos Athanasios I Anakwe Raymond E Baker Alexander DL Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report Journal of Medical Case Reports |
| title | Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report |
| title_full | Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report |
| title_fullStr | Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report |
| title_full_unstemmed | Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report |
| title_short | Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report |
| title_sort | late presentation of superior mesenteric artery syndrome following scoliosis surgery a case report |
| url | http://www.jmedicalcasereports.com/content/2/1/9 |
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