Wilkie's syndrome as a cause of anxiety-depressive disorder: A case report and review of literature.

Autor:	Apostu RC; Department of Surgery, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca 400001, Romania., Chira L; Department of Surgery, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca 400001, Romania., Colcear D; Department of Psychiatry, Clinical Infectious Disease Hospital, Cluj-Napoca 400000, Romania., Lebovici A; Department of Radiology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca 400006, Romania., Nagy G; Department of Internal Medicine, 'Iuliu Hatieganu' University of Medicine and Pharmacy Cluj-Napoca, 400006, Romania., Scurtu RR; Department of Surgery, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca 400001, Romania. razvan.scurtu@umfcluj.ro., Drasovean R; Department of Surgery, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca 400001, Romania.
Jazyk:	angličtina
Zdroj:	World journal of clinical cases [World J Clin Cases] 2022 Feb 16; Vol. 10 (5), pp. 1654-1666.
DOI:	10.12998/wjcc.v10.i5.1654
Abstrakt:	Background: Superior mesenteric artery syndrome is a disease with a complex diagnosis, and it is associated with complications that make it even harder to identify. Currently, a frequent association with psychiatric disorders has been noted. Despite numerous case reports and case series, the variability of the disease has not allowed the development of protocols regarding diagnosis and management. Case Summary: A 33-year-old woman presented with abdominal pain, nausea, and bile vomiting over the last 15 mo, associated with a 15-kg weight loss over the last three months. After the onset of the symptoms, the patient was diagnosed with anxiety-depressive disorder and treated appropriately. Standard examinations excluded an organic cause, and the cause of the symptoms was considered psychogenic. The persistence of symptoms, even under treatment, prompted a computer tomography angiography examination of the abdomen and pelvis. The examination identified emergence at a sharp angle of 13.7° of the superior mesenteric artery, with a reduced distance between the artery and the anterior wall of the aorta up to a maximum of 8 mm. A diagnosis of aortomesenteric clamp was established. Surgical treatment by laparoscopic duodenojejunostomy was performed. Postoperative evolution was marked by a patent anastomosis at 1 mo, with a 10-kg weight gain and improvement of the associated anxiety. Conclusion: This case report underlines two major aspects. One aspect refers to the predisposition of patients with superior mesenteric artery syndrome to develop psychiatric disorders, with an excellent outcome when proper treatment is administered. The second aspect underlines the key role of a multidisciplinary approach and follow-up. Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflicts of interest. (©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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