Elmadag Mehmet, Güzel Yunus, Uzer Gokcer, Tuncay İbrahim
Department of Orthopaedics and Traumatology, School of Medicine, Bezmialem Vakif University, Adnan Menderes Boulevard, Vatan Street, Fatih, 34093 Istanbul, Turkey.
Department of Orthopaedics and Traumatology, School of Medicine, Ordu University, Cumhuriyet Campus, 52200 Ordu, Turkey.
Case Rep Orthop. 2015;2015:930534. doi: 10.1155/2015/930534. Epub 2015 Jan 5.
In pregnancy, advanced vertebral hemangiomas may be seen, and these require treatment. The case reported here is of a 35-year-old female in the 32nd week of pregnancy who was admitted to the orthopaedics clinic with a history of backache and difficulty walking. A burst fracture of L1 associated with a vertebral hemangioma was identified with an L3 compression fracture secondary to osteoporosis. The local kyphosis angle between T12 and L2 was 27°. Kyphotic deformity was corrected and postoperatively, the measured T12-L2 local kyphotic angle was 9°. Twelve hours postoperatively, oral nutrition was allowed, but she developed nausea and vomiting and twenty-four hours postoperatively, an electrolyte imbalance developed. Postoperatively, the patient was diagnosed with superior mesenteric artery syndrome. To the best of our knowledge, this is the first reported case of superior mesenteric artery syndrome, which occurred following the correction of a kyphotic deformity that had developed secondary to an advanced hemangioma in pregnancy.
在孕期,可能会出现进展性椎体血管瘤,这些需要治疗。本文报道的病例是一名35岁女性,孕32周,因背痛和行走困难入住骨科门诊。经诊断为L1爆裂性骨折伴椎体血管瘤,同时存在继发于骨质疏松的L3压缩性骨折。T12与L2之间的局部后凸角为27°。对后凸畸形进行了矫正,术后测量T12-L2局部后凸角为9°。术后12小时允许经口营养,但她出现了恶心和呕吐,术后24小时出现了电解质失衡。术后,患者被诊断为肠系膜上动脉综合征。据我们所知,这是首例报道的肠系膜上动脉综合征病例,该病例发生在矫正孕期因进展性血管瘤继发的后凸畸形之后。