#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Wilkie’s syndrome – a rare cause of duodenal obstruction in an adult female patient


Authors: L. Ciesar
Authors‘ workplace: Chirurgické oddělení, Nemocnice Havířov primář: MUDr. B. Firla
Published in: Rozhl. Chir., 2017, roč. 96, č. 3, s. 138-140.
Category: Case Report

Overview

Wilkie’s syndrome or superior mesenteric artery syndrome is a rare cause of obstruction of the upper part of the gastrointestinal tract caused by compression of the third part of the duodenum between the abdominal aorta and the superior mesenteric artery at its origin. Partial or complete compression of the duodenum is caused by a decreased aortomesenteric angle. In this paper, the authors present the case report of a patient with chronic upper abdominal ileus. The clinical course of the illness, symptoms and surgical treatment of the patient are presented. The discussion section then focuses on diagnostic methods, characteristic clinical course and management of Wilkie’s syndrome.

Key words:
duodenal obstruction − duodenojejunostomy − superior mesenteric artery syndrome


Sources

1. So CY, Chan KY, Au HY, et al. Superior mesenteric artery (SMA) syndrome: an unusual cause of intestinal obstruction in palliative care. Ann Palliat Med 2016;14: Epub ahead of print.

2. Biank V, Werlin S. Superior mesenteric artery syndrome in children: A 20-year experience. J Pediatr Gastroenterol Nutr 2006;42:522−5.

3. Válková L. Syndrom arteria mesenterica superior – syndrom Wilkie. Interní medicína pro praxi 2011;13:353−4.

4. Bohanon FJ, Nunez Lopez O, Graham BM, et al. A case series of laparoscopic duodenojejunostomy for the treatment of pediatric superior mesenteric artery syndrome. Int J Surg Res 2016;(Suppl 1):1−5.

5. Boráňová S, Žáčik M. Syndrom arteria mesenterica superior. Pediatrie pro praxi 2012;13:407−8.

6. Lundell L, Thulin A. Wilkie’s syndrome – a rarity? Br J Surg 1980;67:604−6.

7. Kyslan K, Barla J, Kyslan K. ml, et al. Syndróm AMS a jeho riešenia. Rozhl Chir 2008;87:255−8.

8. Archana R, Gisel JJ, Vivek R, et al. Superior mesenteric artery (Wilkie’s) syndrome as a result of cardiac cachexia. J Gen Intern Med 2005;20:C3-4.

9. Sidhu R, Dave. Superior mesenteric artery (Wilkie’s) syndrome following expeditious weight loss. Indian J Med Res 2016;143:527.

10. Karrer FM. Superior mesenteric artery syndrome. Medscape Reference 2015; available from: http://emedicine.medscape.com/article/932220-overview.

11. Chang J, Boules M, Rodriguez J, et al. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: intermediate follow-up results and a review of the literature. Surg Endosc 2016. Epub ahead of print

12. Jo FB, Song KY, Park CH. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome, report of a case. Surg Laparosc Endosc Percutan Tech 2008;18:213−5.

13. Duvie SO. Anterior transposition of the third part of the duodenum in the management of chronic compression by the superior mesenteric artery. Int Surg 1988;73:140−3.

14. Massoud WZ. Laparoscopic management of superior mesenteric artery syndrome. Int Surg, 1995;80:322−7.

Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#