Case Report
A Rare Case of Late Presentation of Superior Mesenteric Artery Syndrome Following Kyphoscoliosis Surgery
Srijit Saha* and Aarti Anand
Department of Radiodiagnosis, Government Medical College, Nagpur, India
*Corresponding author: Saha S, Department of Radiodiagnosis, Government Medical College, Boys’ Hostel 7, Room 10, Hanuman Nagar, Medical Chowk, Nagpur-440003, India, Phone num: +91 9836018823; E-mail: srijit333@gmail.com
Copyright: © 2020 Saha S, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Information: Submission: 06/10/2020; Accepted: 03/12/2020; Published: 07/12/2020
Abstract
Introduction: Obstruction of the third part of the duodenum by the Superior Mesenteric Artery (SMA) can occur following surgical correction of scoliosis. The condition most commonly occurs in significantly underweight patients with severe deformities during the first few days to a week following spinal surgery.
Case presentation: We present the atypical case of an adolescent idiopathic thoracolumbar scoliosis that underwent corrective surgery with instrumentation 3 months back. And developed SMA syndrome several months postoperatively. The condition manifested with recurrent vomiting, abdominal distension, marked dehydration, and severe electrolyte disorder. Prolonged nasogastric decompression, nasojejunal feeding, IV fluids and antibiotics with
proper positioning resulted in resolution of the symptoms with no recurrence at follow-up.
Conclusion: SMA syndrome can occur much later than previously reported and with potentially life-threatening symptoms following scoliosis correction. Early recognition of the condition and institution of appropriate conservative measures is critical to prevent the development of severe complications including the risk of death