García-Frade-Ruiz LF, Mundo-Gallardo LF, Solís-Ayala E

Language: Spanish
References: 0
Page: 254-258
PDF size: 105.59 Kb.

ABSTRACT

Wilkie’s syndrome is a rare presentation of small bowel obstruction in the third portion of the duodenum by the superior mesenteric artery. It is more common in women, teenagers and young adults. Most cases presented after a major weight loss. Symptoms may include: food intolerance, nausea and vomiting, weight loss, early satiety, bloating and epigastric pain. Barium meal, Doppler ultrasound and angiotomography are required for diagnostic evaluation. Treatment consists of enteral or split diet and nasogastric decompression if necessary. In case of poor response, surgical treatment is required.