| 篇名 |
Superior Mesenteric Artery Syndrome Following Thoracolumbar Kyphosis: Report of a Case |
| 作者 |
Jen-Pin Chuang, Yan-Shen Shan, Ruey-Mo Lin, Po-Chang Lee, Pin-Wen Lin |
| 卷期/出版年月 |
39卷5期 (2006/10) |
| 頁次 |
256-260 |
| 摘要 |
The superior mesenteric artery syndrome is a rare complication that occurs after
correction of spinal deformity. A 16-year-old male with Scheuermann kyphosis of up
to 45 degrees involving the levels from T10 to L3 underwent spine correction
operation. However, intermittent, voluminous, and bile-stained vomiting, and nausea
developed on the 2nd post operative day, despite normal appetite and bowel sounds.
A contrast-enhanced abdominal computed tomography scan confirmed the presence
of extrinsic obstruction in the third part of the duodenum caused by the superior
mesenteric artery. The patient was managed non-operative measures such as
nasogastric tube drainage and total parenteral nutrition. The complication was
resolved on the 7th postoperative day and the patient was discharged on the 14th
postoperative day. The results and a literature review suggest that early recognition
of the clinical signs of obstruction and proper conservative treatment can prove
efficient for most cases. |
| 關鍵詞 |
Superior mesenteric artery (SMA) syndrome, Kyphosis |
| 分類 |
Case Report |
