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