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Acute celiac artery compression syndrome after in depth correction of sagittal steadiness on an grownup spinal deformity.
Eur Backbone J. 2017 Could;26(Suppl 1):31-35
Authors: Notani N, Miyazaki M, Yoshiiwa T, Ishihara T, Tsumura H
Summary
PURPOSE: To explain the primary case of a affected person who developed acute celiac artery compression syndrome (ACACS) after in depth correction of sagittal steadiness on an grownup spinal deformity.
METHODS: A 77-year-old lady introduced with low again ache and spinal kyphosis deformity. We carried out a two-stage correction with excessive lateral interbody fusion (XLIF), and her lumbar lordosis improved from -47° to 53°. Nonetheless, after surgical procedure, she skilled frequent vomiting and diarrhea. Distinction-enhanced computed tomography confirmed marked narrowing of the belly aorta on the L1/2 stage, and each the celiac artery and superior mesenteric artery have been compressed. Due to this fact, emergency surgical procedure was carried out. After laparotomy, we discovered that the small bowel exhibited an unfavorable colour and that peristalsis had stopped. The aorta was compressed from the anterior route on the higher facet of the renal arteries. The median arcuate ligament (MAL) and celiac plexus have been accountable for the compression. After the compression was relieved, the small bowel colour and peristaltic exercise improved.
RESULTS: Postoperatively, there was no recurrence of belly signs. The affected person might stroll with a strolling body from three weeks postoperatively.
CONCLUSION: ACACS is a life-threatening complication, and due to this fact, it is extremely necessary that ACACS is recognized and handled early. Spinal deformity surgeons ought to concentrate on the attainable incidence of this situation after in depth correction of sagittal steadiness on grownup spinal deformity.
PMID: 27339069 [PubMed – indexed for MEDLINE]