Linked Life Data

17401292

Source:http://linkedlifedata.com/resource/pubmed/id/17401292

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2007-4-2
pubmed:abstractText
Superior mesenteric artery syndrome is a rare complication which can develop after surgical correction of a spinal deformity. The syndrome is caused by an extrinsic compression on the third portion of the duodenum by the aorta posteriorly and the mesenteric artery anteriorly. We report here a case of aortomesenteric compression of the duodenum secondary to surgical correction of lower thoracic scoliosis in a 19-year-old female. The patient presented vomiting and intestinal obstruction ten days after spinal surgery. Treatment consisted in exclusive parenteral nutrition followed by careful surveillance and progressive reintroduction of oral food intake to avoid unnecessary surgery. Young thin subjects are predominantly exposed to this type of complication. The body mass index is a good indication to identify subjects at risk. Symptoms of upper gastrointestinal obstruction develop seven to ten days after surgery. Diagnosis is based on transit studies using a hydroluble contrast agent which reveals major gastric dilation and a clear interruption of the transit at the level of the third duodenum as well as retrograde peristaltism. Medical treatment should be undertaken first and is effective in the large majority of cases. Surgery may be proposed only in the event of failure. Recurrence is exceptional. Early diagnosis, delivery of clear information for the patient and family and multidisciplinary management are important points to consider for proper care for this complication which if neglected can become life-threatening.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0035-1040
pubmed:author
pubmed:issnType
Print
pubmed:volume
93
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
181-5
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
[Superior mesenteric artery syndrome following correction of spinal deformity: case report and review of the literature].
pubmed:affiliation
Service de Chirurgie Orthopédique, Hôpital Beaujon, 100 boulevard du Général-Leclerc, 92110 Clichy. fzadegan@gmail.com
pubmed:publicationType
Journal Article, English Abstract, Review, Case Reports