{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T11:56:22Z","timestamp":1763034982383},"reference-count":0,"publisher":"Vilnius University Press","issue":"3","license":[{"start":{"date-parts":[[2016,11,26]],"date-time":"2016-11-26T00:00:00Z","timestamp":1480118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background. An obstruction of the\u00a0 distal part of the\u00a0 duodenum can occur because of the\u00a0superior mesenteric artery syndrome (SMAS) after a\u00a0surgical correction of scoliosis. It is essential to evaluate the\u00a0risk factors and diagnose the\u00a0SMAS in time because complications of this condition are life-threatening and it is associated with a\u00a0high rate of morbidity. Diagnostics of the\u00a0SMAS is challenging, because it is rare and its symptoms are non-specific. Therefore, in order to better understand the\u00a0essence of this pathology and to make diagnosis easier we present a\u00a0rare clinical case of the\u00a0superior mesenteric artery syndrome after a\u00a0surgical correction of neuromuscular scoliosis.\n The clinical case. A\u00a0 12-year-old girl with a\u00a0 specific development disorder, sensory neuropathy and progressive kypho-scoliosis was admitted to Vilnius University Children\u2019s Hospital. The\u00a0 patient had right side 50-degree thoracic scoliosis and an 80-degree thoracic kyphosis. She underwent posterior spinal fusion with hooks and screws from Th1 to L2. On the\u00a0fourth day after the\u00a0surgery the\u00a0patient developed nausea and began to vomit each day 1-2 times per day, especially after meals. The\u00a0SMAS was suspected and a\u00a0nasogastric tube was inserted, stomach decompression and the\u00a0correction of electrolytes disbalance were made. After the\u00a0treatment, the\u00a0symptoms did not recur and a\u00a0satisfactory correction and balance of the\u00a0spine were made in coronal and sagittal planes.\n Conclusions. It is extremely important to identify the\u00a0 risk factors of the\u00a0 SMAS and begin preoperative diet supplements before surgical correction of scoliosis for patients with a\u00a0 low body mass index. After the\u00a0first episode of vomiting following the\u00a0surgery, we recommend to investigate these patients for a\u00a0 gastrointestinal obstruction as soon as possible. Decompression of the\u00a0stomach, enteral or parenteral nutrition, and fluid therapy are essential in treating the\u00a0SMAS.<\/jats:p>","DOI":"10.6001\/actamedica.v23i3.3379","type":"journal-article","created":{"date-parts":[[2016,11,26]],"date-time":"2016-11-26T17:27:46Z","timestamp":1480181266000},"page":"155-164","source":"Crossref","is-referenced-by-count":4,"title":["Superior mesenteric artery syndrome"],"prefix":"10.15388","volume":"23","author":[{"given":"Giedrius","family":"Bernotavi\u010dius","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K\u0119stutis","family":"Saniukas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irena","family":"Karmonait\u0117","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rimantas","family":"Zagorskis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6097","published-online":{"date-parts":[[2016,11,26]]},"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21350\/20462","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21350\/20462","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T06:18:47Z","timestamp":1610000327000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/view\/21350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,26]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2016,11,26]]}},"URL":"https:\/\/doi.org\/10.6001\/actamedica.v23i3.3379","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2016,11,26]]}}}