Crowther Mark A A, Webb Peter J, Eyre-Brook Ian A
Departments of Orthopaedics and General Surgery, Musgrove Park Hospital, Taunton, Somerset, United Kingdom.
Spine (Phila Pa 1976). 2002 Dec 15;27(24):E528-33. doi: 10.1097/00007632-200212150-00023.
A retrospective report of three cases outlining upper intestinal obstruction as a rare complication following surgery for scoliosis.
To present the clinical features, progression, and management of duodenal obstruction due to superior mesenteric artery compression after surgical treatment of scoliosis.
Superior mesenteric artery or cast syndrome has been reported historically in the literature. Many causes are described, among which is the complication of the surgical and nonoperative treatment of scoliosis.
Three adolescent patients were investigated for nausea and vomiting following surgical correction of scoliosis.
Contrast radiography confirmed extrinsic obstruction of the third part of the duodenum by the superior mesenteric artery in all three patients. They were jointly managed with the gastrointestinal surgeons. Two patients recovered with conservative treatments, but the third required operative intervention with a laparotomy.
Vomiting following surgery for scoliosis should be investigated thoroughly, as superior mesenteric artery syndrome carries significant morbidity, protracted hospital stay, and potential mortality.
一份对三例病例的回顾性报告，概述了脊柱侧弯手术后上肠梗阻这一罕见并发症。
介绍脊柱侧弯手术治疗后因肠系膜上动脉压迫导致十二指肠梗阻的临床特征、病情进展及处理方法。
肠系膜上动脉或石膏综合征在既往文献中有报道。病因众多，其中包括脊柱侧弯手术及非手术治疗的并发症。
对三名青少年患者进行调查，这些患者在脊柱侧弯手术矫正后出现恶心和呕吐症状。
造影检查证实所有三名患者的十二指肠第三部均存在肠系膜上动脉外部压迫。他们由胃肠外科医生联合处理。两名患者经保守治疗康复，但第三名患者需要开腹手术干预。
脊柱侧弯手术后的呕吐应进行全面调查，因为肠系膜上动脉综合征具有较高的发病率、延长的住院时间和潜在的死亡率。
