Wilkie Syndrome. A case report

Cirugia y cirujanos
Daniel González Hermosillo-CornejoPablo Andrade Martínez-Garza

Abstract

Wilkie syndrome, also referred as superior mesenteric artery syndrome, is an unusual cause of a proximal small bowel obstruction. It is characterised by the compression of the duodenum in its third portion due to a narrowing of the space between the superior mesenteric artery and the aorta. Its presentation symptoms are consistent and include the obstruction of the proximal small bowel. However, the physical and laboratory findings are non-specific. Nevertheless, many imaging methods are useful for its diagnosis. The management of this condition varies between observation and surgery, depending on each particular case. The case is presented of a 19 year-old male who began with acute, intense abdominal pain, nausea, vomiting, and diarrhoea. On examination, he had abdominal wall rigidity and hyperesthesia. Imaging studies were requested, revealing a decreased superior mesenteric artery angle, a shortening of the aortic mesenteric distance, and a decrease in the calibre of the third duodenal portion, all findings concomitant with Wilkie syndrome. Conservative treatment was applied and the patient was discharged without complications. Wilkie syndrome continues to be an unknown condition to the general practitioner, and the underdia...Continue Reading

References

Jul 5, 2001·American Journal of Surgery·W S Richardson, W J Surowiec
Mar 25, 2005·Journal of Internal Medicine·S NeriR Scuderi
Jun 2, 2005·World Journal of Gastroenterology : WJG·Ze-Zhang Zhu, Yong Qiu
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Apr 24, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Benjamin Clapp, Bruce Applebaum
Apr 10, 2012·Surgery·Shefali Agrawal, Harshad Patel

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Citations

Sep 21, 2019·Cardiovascular & Hematological Agents in Medicinal Chemistry·Ana Karolina Víquez Beita, Thomas F Whayne
May 20, 2020·Medwave·Eduardo Ojeda LewisPaula Duránd Anahua

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