Year 2017 / Volume 109 / Number 1
Digestive Diseases Image
Wilkie´s syndrome

62-63

Carlos Oliva-Fonte, Cristina Fernández Rey, Javier Pereda Rodríguez, Ana María González-Fernández,

Abstract
We report the case of a 14 year-old woman, who presents epigastric abdominal pain, abundant vomits and an important abdominal distension. Previously, she presented similar episodes. She has not any significant prior medical history. CT is performed and the imaging findings are consistent with Wilkie´s syndrome. Wilkie´s syndrome is a rare condition, that results from a intestinal obstruction caused by third portion duodenal compression between the abdominal aorta and the superior mesenteric artery. When the angle between both structures diminishes and the distance between the SMA and the aorta decreases (the most diagnostic value), duodenal obstruction occurs. Initially conservative management is adopted, but in some cases surgical treatment is necessary. Multislice CT has demonstrated an excellent diagnostic value when this entity is suspected. It provides multiplanar reconstructions, which are useful to measure the distance and the aortomesenteric angle and to rule out other possible etiologies.
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References
1- Kennedy KV, Yela R, Achalandabaso M del M et al. Superior mesenteric artery syndrome: diagnostic and therapeutic considerations. Rev Esp Enferm Dig. 2013;105:236-8.
2- Bakker ME, van Delft R, Vaessens NA et al. Superior mesenteric artery syndrome in a 15-year-old boy during Ramadan. Eur J Pediatr. 2014;173:1619-21.
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Oliva-Fonte C, Fernández Rey C, Pereda Rodríguez J, González-Fernández A. Wilkie´s syndrome. 4138/2015


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Publication history

Received: 03/12/2015

Accepted: 03/01/2016

Published: 03/01/2017

Article revision time: 22 days

Article editing time: 397 days


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