- cast syndrome results from obstruction of third portion of the duodenum by superior mesenteric artery leading to high intestinal
- in the past, it occurred most often following Harrington rod instrumentation for scoliosis which was followed by application of a body cast;
- Clinical Findings:
- typical presentation: is abdominal pain, distension and vomiting following application of a spica cast;
- treatment consists of NG tube suction and IV fluid for 3 to 4 days;
- occassionally these symptoms are intractable and require surgery consisting of a side to side duodenojejunostomy
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Tuesday, April 24, 2012 2:57 pm