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Superior mesenteric artery syndrome in a tetraplegic patient, 11 years after a spinal cord injury - a case report

KIM SJ; YOON JS; PARK BK; WON SJ
SPINAL CORD , 2010, vol. 48, n° 11, p. 838-839
Doc n°: 150512
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1038/sc.2010.24
Descripteurs : AE2 - PARAPLEGIE-TETRAPLEGIE

OBJECTIVE: To report on the need to consider the
possibility of the superior mesenteric artery syndrome (SMAS) even after a long
time from the initial spinal cord injury. SETTING: Ulsan, South Korea. METHODS: A
41-year-old man with complete tetraplegia was evaluated for nausea and vomiting.
He had a cervical cord injury 11 years previously and his body mass index was
18.6 on admission. The contrast-enhanced abdominal computed tomography (CT)
showed intestinal obstruction at the third-portion of the duodenum. With frequent
position change and intravenous electrolyte support, the symptoms resolved. There
was no relapse of the symptoms with some lifestyle modifications. CONCLUSION:
Patients with spinal cord injury may develop SMAS even long after their initial injury.

Langue : ANGLAIS

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