medigraphic.com
ISSN 0035-0052 (Print)

2017, Number 2

<< Back Next >>

Rev Mex Pediatr 2017; 84 (2)

Superior mesenteric artery syndrome: an unusual cause of incomplete intestinal obstruction in a pediatric patient

Ochoa-Nava R, Guadarrama-Vallejo AC, García-Carrizosa S, Herrera-Víctor FJ

Language: Spanish
References: 20
Page: 61-65
PDF size: 247.86 Kb.


ABSTRACT

Superior mesenteric artery syndrome or Wilkie’s syndrome is an infrequent obstructive intestinal pathology related to an abnormal anatomy and topography of the duodenum, aorta and the superior mesenteric artery. This is due to a partial obstruction of the third part of the duodenum caused by the compression of the aorta and the superior mesenteric artery. Since 1980 international literature has reported nearly 400 cases in pediatric patients. Our objective is to illustrate this sydrome through a case of an eight-year old child who had a decrease of the aorta mesenteric angle that caused reoccurring abdominal pain and symptomps of proximal intestinal obstruction. The diagnosis is done through a CT scan in 95% of the cases. The clinical characteristics, diagnostic approach through CT scan and the treatment will be discussed.


REFERENCES

  1. Castaño LR, Chams AA, Arango VP, García VA. Síndrome de la arteria mesentérica superior o síndrome de Wilkie. Rev Col Gastroenterol. 2009; 24 (2): 200-209.

  2. Mathenge N, Osiro S, Rodriguez II, Salib C, Tubbs RS, Loukas M. Superior mesenteric artery syndrome and its associated gastrointestinal implications. Clin Anat. 2014; 27: 1244-1252.

  3. Padilla MT, Alvear N. Síndrome de Wilkie, un reto diagnóstico. Rev Med HJCA. 2016; 8 (1): 65-71.

  4. Mosalli R, El-Bizre B, Farooqui M, Paes B. Superior mesenteric artery syndrome: a rare cause of complete intestinal obstruction in neonates. J Pediatr Surg. 2011; 46 (12): e29-31.

  5. Agrawal S, Patel H. Superior mesenteric artery syndrome. Surgery. 2013; 153: 601-602.

  6. Arrieta YL, Aycardi VF, Quintana C. Síndrome de la arteria mesentérica superior en adolescente de 15 años de edad. Reporte de un caso. Revista Pediátrica Elizalde. 2015; 6 (1-2): 1-54.

  7. Basu S, Srivastava V, Singh PK, Srivastava A, Shukla VK. Duodenojejunal junction web masquerading as Wilkie’s syndrome: report of a case. Surg Today. 2011; 41: 409-411.

  8. Kennedy KV, Yela R, Achalandabaso MM, Martín PE. Síndrome de la arteria mesentérica superior: consideraciones diagnósticas y terapéuticas. Rev Esp Enferm Dig. 2013; 105 (4): 236-238.

  9. Panda N, Das R, Gumta M, Karmakar M, Nandi MM. Wilkie’s syndrome: review of eight cases. Acta Gastroenterol Latinoam. 2013; 43 (3): 240-247.

  10. Yakan S, Caliskan C, Kaplan H, Galip DA, Coker A. Superior mesenteric artery syndrome: a rare cause of intestinal obstruction. Diagnosis and Surgical Management. Indian J Surg. 2013; 75 (2): 106-110.

  11. Sundaram P, Gupte GL, Millar AJ, McKiernan PJ. Endoscopic ultrasound is a useful diagnostic test for superior mesenteric artery syndrome in children. J Pediatr Gastroenterol Nutr. 2007; 45 (4): 474-476.

  12. Burrington D, Wayne ER. Obstruction of the duodenum by the superior mesenteric artery - does it exist in children? J Pediatr Surg. 1974; (9): 733-741.

  13. Matheos E, Vasileios K, Baloyiannis I, Zacharoulis D, Hatzitheofilou K. Superior mesenteric artery syndrome. Case Rep Gastroenterol. 2009; 3 (156): 156-161.

  14. Gould R, Sandstrom CK, Strote J. Identification of superior mesenteric artery syndrome from vascular angle measurements. J Emerg Med. 2015; 49 (1): e35-e36.

  15. Sabbagh C, Santin E, Potier A, Regimbeau JM. The superior mesenteric artery syndrome: a rare etiology for proximal obstructive syndrome. J Visc Surg. 2012; 149: 428-429.

  16. Rodriguez A, Romero VS, Ferrarotti C, Larrañaga N, Gallo JC, Kozima S. Síndrome de la arteria mesentérica superior. Presentación de un caso. Rev Argent Radiol. 2014; 78 (2): 96-98.

  17. Shin MS, Kim JY. Optimal duration of medical treatment in superior mesenteric artery syndrome in children. J Korean Med Sci. 2013; 28. 1220-1225.

  18. Naseem Z, Premaratne G, Hendahewa R. “Less is more”: Non operative management of short term superior mesenteric artery syndrome. Ann Med Surg. 2015; 4: 428-430.

  19. Loera-Torres MA, García-Núñez LM, Cabello-Pasini R, Morales AS, Núñez CO, Rivera-Cruz JM. Síndrome de Wilkie: Reporte de dos casos. Rev Sanid Milit Mex. 2010; 64 (1): 41-46.

  20. Biank V, Werlin S. Superior mesenteric artery syndrome in children: a 20-year experience. J Pediatr Gastroenterol Nutr. 2006; 42 (5): 522-525.




2020     |     www.medigraphic.com