Abstract

POBLETE-OTERO, Francisco; ALVAREZ-PERTUZ, Humberto  and  ARANA-SAENZ, Andrés. Wilkie Syndrome. Acta méd. costarric [online]. 2015, vol.57, n.3, pp.145-148. ISSN 0001-6002.

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.

Keywords : weight loss; irrepressible vomiting; gastric dilatation; Superior Mesenteric Artery Syndrome; Cast Syndrome.

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