Booka Eisuke, Kawakubo Hirofumi, Ishii Ken, Hikata Tomohiro, Fukuda Kazumasa, Nakamura Rieko, Takahashi Tsunehiro, Wada Norihito, Ishii Yoshiyuki, Takeuchi Hiroya, Kitagawa Yuko
*Department of Surgery †Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan; and ‡Department of Digestive Surgery, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Spine (Phila Pa 1976). 2015 Aug 1;40(15):E909-12. doi: 10.1097/BRS.0000000000000933.
Case report.
To present a rare case of superior mesenteric artery (SMA) syndrome caused by massive lumbar osteophytes.
SMA syndrome is a relatively rare condition thought to be secondary to functional obstruction. Although several risk factors for SMA syndrome have been reported, no other previous reports have suggested that lumbar osteophytes caused SMA syndrome.
A rare case of SMA syndrome caused by massive lumbar osteophytes was treated by resecting the osteophytes.
An 82-year-old man, with a history of polysurgery, presented with frequent vomiting. He was diagnosed with SMA syndrome after endoscopic and several radiological examinations, and was successfully treated by the resection of the osteophytes.
To the best of our knowledge, a case of SMA syndrome secondary to lumbar osteophytes has not been reported in the literature. The possibility of SMA syndrome caused by massive lumbar osteophytes should be taken into consideration when the cause of SMA syndrome is unknown. In addition, the resection of osteophytes could be a less invasive treatment in such cases.
病例报告。
呈现一例由大量腰椎骨赘引起的肠系膜上动脉（SMA）综合征的罕见病例。
SMA综合征是一种相对罕见的疾病，被认为是继发于功能性梗阻。尽管已报道了SMA综合征的几种危险因素，但此前尚无其他报告表明腰椎骨赘会导致SMA综合征。
通过切除骨赘治疗一例由大量腰椎骨赘引起的SMA综合征罕见病例。
一名有多次手术史的82岁男性，出现频繁呕吐。经内镜及多项影像学检查后，他被诊断为SMA综合征，并通过切除骨赘成功治愈。
据我们所知，文献中尚未报道过由腰椎骨赘继发的SMA综合征病例。当SMA综合征病因不明时，应考虑大量腰椎骨赘导致SMA综合征的可能性。此外，在这种情况下，切除骨赘可能是一种侵入性较小的治疗方法。
5级。
