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

Authors
Kim, S. J.Yoon, J. S.Park, B. K.Won, S. J.
Issue Date
11월-2010
Publisher
NATURE PUBLISHING GROUP
Keywords
SMAS; tetraplegia; spinal cord injury; superior mesenteric artery syndrome
Citation
SPINAL CORD, v.48, no.11, pp.838 - 839
Indexed
SCIE
SCOPUS
Journal Title
SPINAL CORD
Volume
48
Number
11
Start Page
838
End Page
839
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/115390
DOI
10.1038/sc.2010.24
ISSN
1362-4393
Abstract
Study design: Case report. 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. Spinal Cord (2010) 48, 838-839; doi:10.1038/sc.2010.24; published online 30 March 2010
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