Year 2025 / Volume 117 / Number 10
Letter
Gastric perforation as a complication of Wilkie’s syndrome

589-590

DOI: 10.17235/reed.2024.10596/2024

Silvia Fernández Noël, Óscar García Villar, Audrey Jiménez Torres, Nicolás Pareja Arico, Julia Gutiérrez de Prado, Óscar Caso Maestro, Francisco J. García Borda, Eduardo Ferrero Herrero,

Abstract
Wilkie’s syndrome, also known as Superior mesenteric artery (SMA) syndrome, is characterized by intestinal obstruction due to aortomesenteric duodenal compression caused by the reduction of the normal angle between (38-65º) to <25º or to a distance <8mm. The clinical presentation is usually non-specific (dyspepsia, postprandial abdominal pain) but sometimes presented as an acute intestinal obstruction syndrome (nausea, vomiting, gastric dilatation and abdominal distention). In this study, we report the case of a 22-year-old patient with a BMI of 16.5 who presented to the emergency room with acute intestinal obstruction caused by SAMS. He presented with massive gastric dilation that caused ischaemic necrosis of the gastric mucosa with subsequent perforation. It should be noted that only one case associated with Wilkie syndrome has been described in the literature. Therefore, given the rare incidence of complications associated with this syndrome and the favourable prognosis with conservative management, surgery is usually the last line of treatment. However, we must not forget that when necrosis appears, it is often extensive and requires urgent surgical treatment in most cases.
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References
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Citation tools
Fernández Noël S, García Villar Ó, Jiménez Torres A, Pareja Arico N, Gutiérrez de Prado J, Caso Maestro Ó, et all. Gastric perforation as a complication of Wilkie’s syndrome. 10596/2024


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Publication history

Received: 16/06/2024

Accepted: 26/06/2024

Online First: 01/08/2024

Published: 10/10/2025

Article Online First time: 46 days

Article editing time: 481 days


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