Abstract

BENAVIDES-OLIVERA, Jesús Guadalupe; MARQUEZ-JURADO, Noel Alonso  and  SALGADO-YANEZ, Víctor Alejandro. Wilkie syndrome. Literature review. Cir. gen [online]. 2021, vol.43, n.2, pp.115-118.  Epub Dec 05, 2022. ISSN 1405-0099.  https://doi.org/10.35366/106722.

A 48-year-old male patient presented at the time of admission a seven-day picture with intolerance to the oral route, accompanied by nausea and vomiting of gastro-alimentary content on multiple occasions, abdominal distension which is associated with intense pain that is exacerbated prior to admission, the clinical picture suggestive of intestinal obstruction. Upon physical examination, the patient presents pain fascia, cachectic distension and generalized abdominal pain, percussion tympanism, abdominal tomography is performed in a simple phase where excessive dilation of the stomach is observed without intestinal dilation, so it is decided to perform tomography with contrast Intravenous due to the suspicion of an aorto-mesenteric impingement, conservative treatment is performed for 48 hours, without improvement so that laparoscopic surgical procedure (duodenum-jejunum anastomosis) is performed. The importance of Wilkie syndrome is because it is a rare cause of high intestinal obstruction, resulting from compression of the duodenum between the abdominal aorta and the superior mesenteric artery. There is still some controversy surrounding the diagnosis of superior mesenteric artery syndrome, since the symptoms do not always correlate well with abnormal anatomical findings in radiological studies, and may not resolve completely after treatment.

Keywords : Wilkie syndrome.