Wilkie Syndrome

Authors

  • Francisco Poblete Otero Caja Costarricense de Seguro Social, Hospital San Rafael de Alajuela
  • Humberto Álvarez Pertus Caja Costarricense de Seguro Social, Hospital San Rafael de Alajuela
  • Andrés Arana Saénz Caja Costarricense de Seguro Social, Hospital San Rafael de Alajuela

DOI:

https://doi.org/10.51481/amc.v57i3.893

Keywords:

weight loss, irrepressible vomiting, gastric dilatation, Superior Mesenteric Artery Syndrome, Cast Syndrome

Abstract

Superior mesenteric artery (SMA) syndrome (Wilkie syndrome) is an uncommon condition. It was first described in 1861 by Von Rokitansky and then reviewed by Willet in 1868. The syndrome develops when the third part of the duodenum is obstructed by the angle formed between the Aortic Artery and the Superior Mesenteric Artery.A 36-year-old male, with no previous medical conditions, with chronic weight loss, vomiting and epigastric pain. The patient was assessed by the Surgery Department after a gastric endoscopy revealed an extrinsic obstruction of the duodenum. After several radiological studies, a reduction of the Aortic and Superior Mesenteric Artery angle was found. A laparoscopic duodenum-yeyunum anastomosis was performed, the medical condition was solved and the patient evolved positively.

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References

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Published

2015-07-02 — Updated on 2015-07-02

Versions

Issue

Vol. 57 No. 3 (2015): Acta Médica Costarricense Julio-Setiembre 2015

Section

Caso Clínico

License

Copyright (c) 2015 Acta Médica Costarricense

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How to Cite

Wilkie Syndrome. (2015). Acta Médica Costarricense , 57(3), 145-148. https://doi.org/10.51481/amc.v57i3.893