Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report.

Journal of Medical Case Reports
Athanasios I TsirikosAlexander D L Baker

Abstract

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. We present the atypical case of a patient with normal body habitus and a 50 degrees 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. 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...Continue Reading

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Citations

Dec 25, 2008·JAAPA : Official Journal of the American Academy of Physician Assistants·Jason R SmithAmer F Samdani
Sep 9, 2015·Surgery Research and Practice·M Ezzedien RabieIsmail El Hakeem
Feb 13, 2018·European Journal of Clinical Nutrition·Roslyn C TarrantPatrick J Kiely
Aug 18, 2009·Clinical Orthopaedics and Related Research·John M FlynnUNKNOWN Harms Study Group
Sep 19, 2018·Gastroenterology Research and Practice·Emanuele SinagraMassimo Midiri
Sep 22, 2018·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Gisela SilvaMarta Tavares
Sep 11, 2020·Journal of Orthopaedic Surgery·Weng Hong ChungMun Keong Kwan
Nov 12, 2019·Radiology Case Reports·Hidayatullah HamidiFreba Ahrar Soroush

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Methods Mentioned

BETA
SMA
dissection

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