Wilkie's Syndrome or Superior Mesenteric Artery Syndrome: Fact or Fantasy
| Autor: | Vera Zaraket, Liliane Deeb |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Weight loss
medicine.medical_specialty Published online: June 2015 Wilkie's syndrome medicine.artery medicine Superior mesenteric artery lcsh:RC799-869 Superior mesenteric artery syndrome Aorta business.industry Gastroenterology medicine.disease SMA Surgery Pneumonia medicine.anatomical_structure Intestinal obstruction Acquired disorder Wilkieߣs syndrome Duodenum lcsh:Diseases of the digestive system. Gastroenterology medicine.symptom business |
| Zdroj: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 9, Iss 2, Pp 194-199 (2015) |
| ISSN: | 1662-0631 |
| DOI: | 10.1159/000431307 |
| Popis: | Superior mesenteric artery (SMA) syndrome (known as Wilkie's syndrome) is a rare cause of upper gastrointestinal obstruction. It is an acquired disorder in which acute angulation of the SMA causes compression of the third part of the duodenum between the SMA and the aorta. This is commonly due to loss of fatty tissue as a result of a variety of debilitating conditions. We report a 17-year-old female who presented with intermittent abdominal pain and intractable vomiting following significant weight loss after hospitalization for pneumonia. Symptoms persisted for 2 years and the patient underwent extensive invasive and non-invasive tests, but to no avail. Thereafter she developed acute high intestinal obstruction, which unraveled her diagnosis. This case emphasizes the challenges in the diagnosis of SMA syndrome and the need for increased awareness of this entity. This will improve early recognition in order to reduce irrelevant tests and unnecessary treatments. |
| Databáze: | OpenAIRE |
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