Cast Syndrome



- Discussion:
    - cast syndrome results from obstruction of third portion of the duodenum by superior mesenteric artery leading to high intestinal 
          obstruction;
    - 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:
    - 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