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.