Sapkas G, O'Brien J P
Arch Orthop Trauma Surg (1978). 1981;98(1):7-11. doi: 10.1007/BF00389703.
Vascular compression of the duodenum, the so-called cast syndrome, which is due to the mechanical compression of the third part of the duodenum from the superior mesenteric artery, was developed postoperatively in six patients treated for their spine deformities. The early recognition of the clinical signs of the obstructive ileus and the proper conservative treatment proved efficient for five of the patients, and only in one laparotomy and duodeno-jejunostomy were inevitable due to the severity and persistency of the symptoms. The purpose of this report is to record these cases describing the clinical manifestations, the treatment, and the pathogenesis of the vascular compression of the duodenum which may occur during the treatment of the spine deformities.
十二指肠血管压迫综合征，即所谓的卡斯综合征，是由于肠系膜上动脉对十二指肠第三部的机械性压迫所致，在6例接受脊柱畸形治疗的患者术后发生。对肠梗阻临床体征的早期识别和适当的保守治疗对5例患者有效，仅1例因症状严重且持续而不可避免地进行了剖腹手术和十二指肠空肠吻合术。本报告的目的是记录这些病例，描述十二指肠血管压迫综合征在脊柱畸形治疗过程中可能出现的临床表现、治疗方法及发病机制。
