Wilkie's syndrome, also commonly known as superior mesenteric artery (SMA) syndrome, is an infrequent and rare cause of small bowel obstruction. It is caused by extrinsic compression of the duodenal segment of the intestine between the aorta and SMA, causing significant post-prandial abdominal pain and vomiting. The literature suggests the incidence of 0.01% to 0.3%. We present here an atypical presentation of SMA syndrome in which a young patient presented to our tertiary set-up with unusually constant abdominal pain and weight loss requiring invasive interventions.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721907 | PMC |
http://dx.doi.org/10.7759/cureus.5085 | DOI Listing |
Int J Surg Case Rep
January 2025
Faculty of Medicine, Department of Internal Medicine, Division of Gastroenterology, University of Aleppo, Aleppo, Syria.
Introduction: Superior mesenteric artery (SMA) syndrome is a rare condition with a significant decrease in the angle between the SMA and the abdominal aorta.
Presentation Of Case: A 16-year-old girl presented with abdominal pain, vomiting, weight loss, and loss of appetite. Family history included allergies to contrast media.
Am J Case Rep
October 2024
Division for General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
BACKGROUND Superior mesenteric artery syndrome, also known as Wilkie's syndrome, is a rare etiology of obstruction of the lower duodenum between the superior mesenteric artery and aorta. It often presents with unspecific abdominal pain and laboratory findings, resulting in difficult diagnosis and treatment. CASE REPORT A 21-year-old male patient was admitted to our clinic with a 13-month history of coughing, ill feeling, night sweats, vomiting, unintentional weight loss, and epigastric pain.
View Article and Find Full Text PDFCureus
August 2024
Department of Surgery, Texas Tech University Health Sciences Center, Amarillo, USA.
Superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, is a rare condition resulting from compression of the third portion of the duodenum between the aorta and the superior mesenteric artery. When symptomatic, this compression may result in nausea, vomiting, epigastric discomfort, and weight loss, requiring clinical attention and imaging to make the diagnosis. Typically, SMA syndrome presents in young females and is associated with an underlying condition such as anorexia nervosa, cachexia, postoperative development after scoliosis surgery, etc.
View Article and Find Full Text PDFRadiol Case Rep
November 2024
General Surgery, Centro Medico Nacional de Occidente, Guadalajara, Mexico.
Superior mesenteric artery syndrome, or Wilkie's syndrome, is one of the rarest gastrointestinal disorders known to medical science. It is characterized by the vascular clamp of the third portion of the duodenum, between the superior mesenteric artery and the aorta. It presents as an uncommon cause of upper intestinal obstruction.
View Article and Find Full Text PDFDiagnostics (Basel)
August 2024
Department of Experimental and Clinical Medicine, University "Magna Græcia", Viale Europa, 88100 Catanzaro, Italy.
Superior mesenteric artery (SMA) syndrome or Wilkie's syndrome is a vascular compression disorder that causes the abnormal compression of the third portion of the duodenum by the SMA. It has a low incidence rate, which is higher in young women, and is rarely associated with the Nutcracker phenomenon: a condition of the compression of the left renal vein between the SMA and the aorta, which manifests as pain in the left flank and pelvis. Here, we report on the case of a 54-year-old woman with a history of repeated episodes of abdominal pain caused by the Nutcracker syndrome and Wilkie's syndrome.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!