SMA Syndrome after Corrective Surgery of Thoracic Kyphoscoliosis: A Case Report.
10.4184/jkss.2003.10.2.202
- Author:
Jeong Hyun HA
1
;
Young Joon AHN
;
Jae Hyup LEE
;
Won Chul CHOI
;
Bong Soon CHANG
;
Choon Ki LEE
Author Information
1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. choonki@plaza.snu.ac.kr
- Publication Type:Original Article
- Keywords:
SMA syndrome;
Kyphoscoliosis
- MeSH:
Abdominal Pain;
Animals;
Aorta;
Congenital Abnormalities;
Duodenum;
Humans;
Ileus;
Infant;
Intra-Abdominal Fat;
Laparotomy;
Length of Stay;
Lordosis;
Male;
Mesenteric Artery, Superior;
Mortality;
Vomiting
- From:Journal of Korean Society of Spine Surgery
2003;10(2):202-207
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Superior mesenteric artery (SMA) syndrome is a rare condition that results from an extrinsic compression of the third portion of the duodenum, between the SMA and the aorta. The symptoms for the condition consist of abdominal pain and recurrent vomiting, caused by ileus, and can be followed by an electrolyte imbalance and nutrient deficiency. SMA syndrome can follow surgical correction of a spinal deformity, as the aorta migrates forward as the degree of the lumbar lordosis increases, and the retroperitoneal fat tissue decreases, during perioperative abstinence. Any symptoms suggestive of SMA syndrome, after correction of a spinal deformity, should be investigated, as SMA syndrome carries a prolonged hospital stay, with the potential for mortality. An 11 year 10 month old boy, who underwent correction for thoracic kyphoscoliosis, developed postoperative abdominal distension, pain and bilious vomiting. An upper gastrointestinal contrast study revealed SMA syndrome, which required a laparotomy.
