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2018, Number 4

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Cir Gen 2018; 40 (4)

Emergency surgical management in Wilkie syndrome. About a case

Ruiz-Mar G, Cárdenas SOE, Álvarez CLA, Moran SOT, Sánchez NLAL, Sánchez-Delgado Y, Pérez ESU
Full text How to cite this article

Language: Spanish
References: 7
Page: 279-281
PDF size: 271.60 Kb.


Key words:

Superior mesenteric artery syndrome, Wilkie’s syndrome, gastric outlet obstruction.

ABSTRACT

Introduction: Superior mesenteric artery syndrome or Wilkie’s syndrome is a rare cause of intestinal obstruction after massive weight loss. The definitive diagnosis is established by imaging studies and the initial treatment is conservative; when this fails, surgical management is necessary. Case report: We present the case of a 43 year old woman with Wilkie’s syndrome who presents with symptoms of intestinal obstruction for three weeks. The abdominal tomography showed a large gastric and duodenal dilatation that required urgent surgical treatment, performing an open duodenojejunostomy without complications. Conclusion: Wilkie syndrome is a rare complication after weight loss that may require urgent surgical treatment and must be in a patient with this history and a picture of intestinal occlusion.


REFERENCES

  1. Khodear Y, Al-Ramli W, Bodnar Z. Laparoscopic management of a complicated case of Wilkie’s syndrome: A case report. Int J Surg Case Rep. 2017; 37: 177-179.

  2. Salem A, Al Ozaibi L, Nassif SMM, Osman RAGS, Al Abed NM, Badri FM. Superior mesenteric artery syndrome: A diagnosis to be kept in mind (Case report and literature review). Int J Surg Case Rep. 2017; 34: 84-86.

  3. Ruiz-Padilla FJ, Mostazo-Torres J, Vílchez-Jaimez M. Gran distensión gástrica en relación con síndrome de la arteria mesentérica superior o síndrome de Wilkie. Gastroenterol Hepatol. 2017; 40: 581-583.

  4. Singh S, Kappal V, Kaur V, Dabar S. Superior Mesenteric Artery Syndrome presenting with Acute Intestinal Obstruction: A Report of Two Cases and Review of Literature. JIMSA. 2014; 27: 29­30.

  5. Neto NI, Godoy EP, Campos JM, Abrantes T, Quinino R, Barbosa AL, et al. Superior mesenteric artery syndrome after laparoscopic sleeve gastrectomy. Obes Surg. 2007; 17: 825-827.

  6. Barrett AM, Harrison DJ, Phillips EH, Felder SI, Burch MA. Superior mesenteric artery syndrome following sleeve gastrectomy: case report, review of the literature, and video on technique for surgical correction. Surg Endosc. 2015; 29: 992-994.

  7. Ugras M, Bicer S, Coskun FT, Romano E, Ekci B. Superior mesenteric artery syndrome: A rare but life threatening disease. Turk J Emerg Med. 2017; 17: 70-72.




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Cir Gen. 2018;40