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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(04): 523-527
DOI: 10.1055/s-0040-1722258
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Superior Mesenteric Artery Syndrome – An Uncommon Complication After Surgical Corrections of Spinal Deformities

Article in several languages: português | English
Alex Oliveira de Araujo 
1   Departamento de Ortopedia, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Rafael Garcia de Oliveira 
1   Departamento de Ortopedia, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Amanda Jordão de Castro Arraes 
2   Departamento de Cirurgia Geral, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Eduardo Magalhães Mamare 
2   Departamento de Cirurgia Geral, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Ivan Dias Rocha 
3   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
,
Cicero Ricardo Gomes 
1   Departamento de Ortopedia, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
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Abstract

Vascular compression of the third part of the duodenum by the superior mesenteric artery results in an unusual occlusion of the duodenal transit known as superior mesenteric artery syndrome. This syndrome can occur after surgeries to correct spinal deformities in a rate ranging from 0.5% to 4.7%. It results from a positional alteration of the artery emergency point due to a change in trunk length after surgery. It is associated with risk factors such as low body mass index and weight loss. Patients usually present with intestinal occlusion, abdominal pain, nausea, bilious vomiting, and early satiety. Superior mesenteric artery syndrome must be recognized early to institute an adequate treatment, which can be clinical (with gastric tube for decompression and nutritional support) or require a surgical procedure. Secondary complications related to superior mesenteric artery syndrome include delayed surgical and nutritional recovery, healing problems, and prolonged hospitalization. The present study aims to report a case of superior mesenteric artery syndrome in a patient with neuromuscular scoliosis secondary to a transverse myelitis who underwent surgical treatment for spinal deformity correction.

Keywords

superior mesenteric artery syndrome/complications - intestinal obstruction - spinal fusion - scoliosis/surgery

Note

Study developed at the Orthopedics Department, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brazil.


Financial Support

There was no financial support from public, commercial, or non-profit sources.




Publication History

Received: 27 May 2020

Accepted: 16 September 2020

Article published online:
30 August 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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