| Autor: |
Fernández Noël S; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre, España., García Villar Ó; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Jiménez Torres A; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Pareja Arico N; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Gutiérrez de Prado J; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Caso Maestro Ó; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., García Borda FJ; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Ferrero Herrero E; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre. |
| Jazyk: |
angličtina |
| Zdroj: |
Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2024 Aug 01; Vol. 118. Date of Electronic Publication: 2024 Aug 01. |
| DOI: |
10.17235/reed.2024.10596/2024 |
| Abstrakt: |
Wilkie's syndrome, also known as Superior mesenteric artery (SMA) syndrome, is characterized by intestinal obstruction due to aortomesenteric duodenal compression caused by the reduction of the normal angle between (38-65º) to <25º or to a distance <8mm. The clinical presentation is usually non-specific (dyspepsia, postprandial abdominal pain) but sometimes presented as an acute intestinal obstruction syndrome (nausea, vomiting, gastric dilatation and abdominal distention). In this study, we report the case of a 22-year-old patient with a BMI of 16.5 who presented to the emergency room with acute intestinal obstruction caused by SAMS. He presented with massive gastric dilation that caused ischaemic necrosis of the gastric mucosa with subsequent perforation. It should be noted that only one case associated with Wilkie syndrome has been described in the literature. Therefore, given the rare incidence of complications associated with this syndrome and the favourable prognosis with conservative management, surgery is usually the last line of treatment. However, we must not forget that when necrosis appears, it is often extensive and requires urgent surgical treatment in most cases. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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