Wilkie syndrome. Case report

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• 作者：Daniel Gonzá ; lez Hermosillo-Cornejo^a ; ^{dr.gonzalezhermosillo@gmail.com} ; Alejandro D&iacute ; az Giró ; n-Gidi^b ; Francisco Manuel Vé ; lez-Pé ; rez^b ; Ramó ; n Ignacio Lemus-Ram&iacute ; rez^b ; Pablo Andrade Mart&iacute ; nez-Garza^b
• 关键词：Wilkie syndrome ; Superior mesenteric artery ; Cast syndrome
• 刊名：Cirugía y Cirujanos (English Edition)
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：85
• 期：1
• 页码：54-59
• 全文大小：1104 K
• 卷排序：85

文摘

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.Clinical caseThe 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.ConclusionsWilkie syndrome continues to be an unknown condition to the general practitioner, and the underdiagnosis of this condition may put a patient at risk of serious complications. A high index of suspicion is required to reach a diagnosis. Early treatment should give a good outcome most of the time.