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Colegio de Medicos y Cirujanos República de Costa Rica
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2014, Number 611

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Rev Med Cos Cen 2014; 71 (611)

SIndrome de Wilkie, compresión duodenal extrinseca poco frecuente

Grant VN
Full text How to cite this article

Language: Spanish
References: 10
Page: 403-405
PDF size: 337.49 Kb.


Key words:

weight loss, irrepressible vomiting, gastric dilatation, Superior Mesenteric Artery Syndrome, Cast Syndrome.

ABSTRACT

Superior mesenteric artery (SMA) syndrome (Wilkie syndrome) is an uncommon condition that consist on a duodenal obstruction secondary to extrinsic vascular compression. First described in 1861 by Von Rokitansky and then reviewed by Willet in 1868. It develops when the third part of the duodenum is obstructed by the angle formed between the Aortic Artery and the Superior Mesenteric Artery. Clinical findings are vomiting, discomfort, weight loss among others. The majority of the patients are asymptomatic. A gastro-duodenum endoscopy, CT Scan and abdominal ultrasound are needed in order to properly diagnose this condition.


REFERENCES

  1. Aslam MI, Finch JG. Prolonged gastroparesis after corrective surgery for Wilkie’s -syndrome: a case report. J Med Case Reports 2008; 2: 109.

  2. Baraa. K. y colaboradores (2011). Laparoscopoic dudodenojujenostomy omega loop with braun anastomosis as a treatment for superior mesenteric syndrome. Saudi Med , 188-191.

  3. Castaño y colaboradores, Síndrome de la arteria mesentérica superior o Síndrome de Wilkie, Rev Col Gastroenterol / 24 (2) 2009, 200- 209.

  4. Iwaoka Y, Yamada M, Takehira Y, et al. Superior mesenteric artery syndrome in identical twin brothers. Intern Med 2001; 40(8): 713-5.

  5. Jain R. Jain R. Superior mesenteric artery syndrome. Curr Treat Options Gastroenterol 2007; 10(1): 24-7.

  6. F.LeMoignea, J.-L. T. (2010). Superior mesenteric artery syndrome:A rare etiology of upper intestinal obstruction in adults. Gastroentérologie Clinique et Biologique , 403-406.

  7. Loja Oropeza D, Alvizuri Escobedo J, Vilca Vasquez M, Sanchez Mercado M. Wilkie’s syndrome: vascular duodenal compression. Rev Gastroenterol Peru 2002; 22(3): 248- 52.

  8. Ortiz C, Cleveland RH, Blickman JG, et al. Familial superior mesenteric artery syndrome. Pediatr Radiol 1990; 20(8): 588-9.

  9. Park, T. H. (2012). Superior Mesenteric Artery Syndrome: Where Do We Stand Today? J Gastrointest Surg , 2203-2211.

  10. Welsch & cols., Recalling Superior Mesenteric Artery Syndrome, Dig Surg 2007;24:149–156




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Rev Med Cos Cen. 2014;71