Cast Syndrome

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- 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;