Arteriomesenteric compression of the duodenum as a complication of the surgi- cal correction of typical idiopathic scoliosis: clinical case

• Main Authors: Sergey O. Ryabykh, Evgeny G. Skryabin, Valery P. Chevzhik, Egor Yu. Filatov
• Format: Article
• Language: English
• Published: Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" 2020-06-01
• Series: Хирургия позвоночника
• Subjects: superior mesenteric artery syndrome; arteriomesenteric compression; complication; deformity; scoliosis; duodenal obstruction
• Online Access: https://www.spinesurgery.ru/jour/article/view/1686/1681
• ISSN: 1810-8997; 2313-1497

The presented rare clinical case of the development of arteriomesenteric compression of the duodenum is described with the aim of informing a wide audience of specialists (orthopedic trauma surgeons, vertebrologists, neurosurgeons, surgeons, neurologists and pediatricians) about a rare complication of surgical correction of typical adolescent idiopathic scoliosis – intestinal obstruction due to compression of the lower horizontal part of the duodenum by the superior mesenteric artery. Publications answering two posed questions were analyzed: is there a correlation between surgical correction of scoliosis and development of abdominal pathology in a patient in the immediate postoperative period, and should the instrumentation be completely or partially removed at the level of the thoracolumbar junction in the case of formation of duodenal arteriomesenteric compression in a patient operated on the spine? Abdominal visceral complications are extremely rare and represented by a very few publications even in modern electronic databases of medical information, therefore we consider it important to bring a case from our practice to the attention of readers.