  |
|
 |
|
Case Report
| ||||||
| Wilkie's syndrome: A rare cause of vomiting and weight loss | ||||||
| Ali Coşkun1, Deniz Uçar1, Erdem Bariş Carti1, Erkan Oymaci1, Mehmet Yildirim1, Nazif Erkan1 | ||||||
|
1Izmir Bozyaka Training and Research Hospital, Department of General Surgery.
| ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Coşkun A, Uçar D, Carti EB, Oymaci E, Yildirim M, Erkan N. Wilkie's syndrome: A rare cause of vomiting and weight loss. International Journal of Case Reports and Images 2013;5(2):150–154. |
|
Abstract
|
|
Introduction:
Superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, is extremely rare and is characterized by postprandial epigastric pain, nausea, vomiting and loss of appetite, with subsequent weight loss, which aggravates the condition of the patients. The syndrome is caused by compression of the third part of the duodenum in the angle between the aorta and the superior mesenteric artery. Herein, we presented a patient with Wilkie's syndrome and discussed the diagnostic difficulties and surgical treatment options.
Case Report: We report a case of a 13-year-old female who was diagnosed with SMA syndrome. There was no history of recent trauma, surgery, prolonged immobilisation or neurological illness. Her weight loss was gradual. The patient was initially diagnosed as anorexia nervosa due to her symptoms of vomiting and anorexia without any clinical cause, but later on, she underwent computed tomography scan and was diagnosed with SMA syndrome. Her SMA syndrome, resolved after successful nonoperative management based on accepted guidelines for nutritional therapy, thus avoiding the need for operation. One year follow-up was uneventful. Conclusion: Superior mesenteric artery syndrome is a rare cause of intestinal obstruction and its first-line treatment is usually conservative with jejunal or parenteral nutrition for restoration of the aortomesenteric fatty tissue. If conservative management fails, surgical options , open or laparoscopic duodenojejunostomy or duodenal mobilization. Its recognition is important because early diagnosis of a partial obstruction may allow for medical rather than surgical intervention, as exemplified by our case. | |
|
Keywords:
Superior mesenteric artery (SMA) syndrome, Wilkie's syndrome, Weight loss, Vomiting, Enteral feeding
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Ali Coşkun – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Deniz Uçar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Erdem Bariş Carti – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Erkan Oymaci – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mehmet Yildirim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Nazif Erkan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© Ali Coşkun et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
|
|
|
About The Authors
| |||
| |||
| |||
| |||
| |||
| |||
| |||
