Bouali, Mounir and Yousra, El Batloussi and Bakouri, Abdelillah El and Bensardi, Fatimazahra and Hattabi, Khalid El and Fadil, Abdelaziz (2020) The Superior Mesenteric Artery Syndrome: A Rare Complication after Post-Traumatic Spine Surgery. International Research Journal of Gastroenterology and Hepatology, 3 (2). pp. 34-38.
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Abstract
Superior mesenteric artery syndrome is a rare complication of post-traumatic spine surgery. The third portion of the duodenum is compressed between the abdominal aorta and the superior mesenteric artery: duodenal (intestinal) occlusion and sometimes arterio-mesenteric occlusion occur. We report the case of a young male patient, in whom this syndrome occurred after spinal surgery. He had fractures in the dorso-lumbar vertebrae. The patient had undergone an osteosynthesis. On a post-operative day 3, he had vomiting. Abdominal CT revealed the findings indicative of superior mesenteric artery syndrome: gastric dilatation and complete halt of the third part of the duodenum. We chose conservative treatment: the rest of the digestive tract, early parenteral nutrition, and correction of fluid and electrolyte imbalances. These treatments did not ameliorate the condition and thus we performed laparotomic gastro-jejunal bypass, which completely ameliorated the condition. The patient was discharged on the 7 postoperative day. We here summarize the clinical features and treatment fundamentals of this disorder.
Item Type: | Article |
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Subjects: | Lib Research Guardians > Medical Science |
Depositing User: | Unnamed user with email support@lib.researchguardians.com |
Date Deposited: | 27 Mar 2023 07:32 |
Last Modified: | 13 Jan 2024 04:44 |
URI: | http://journal.edit4journal.com/id/eprint/534 |