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Related Experiment Video

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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

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Wilkie's syndrome.

Abdul Rehman¹, Aisha Saeed, Tauseef Shaukat

¹Department of General Surgery, Pakistan Atomic Energy Commission (PAEC), General Hospital, Islamabad. surgeonarehman@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|February 1, 2011

Summary

Wilkie's syndrome, a rare duodenal obstruction caused by the superior mesenteric artery, can cause significant symptoms. Surgical intervention effectively relieved a 15-year-old girl's severe postprandial pain, vomiting, and weight loss.

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Area of Science:

Gastroenterology
Vascular Surgery
Pediatric Surgery

Background:

Wilkie's syndrome, also known as superior mesenteric artery syndrome, is an uncommon cause of upper gastrointestinal obstruction.
It arises from extrinsic compression of the third part of the duodenum by the superior mesenteric artery.

Observation:

A 15-year-old female patient presented with a constellation of symptoms including postprandial abdominal pain, bilious vomiting, and significant weight loss.
Clinical presentation suggested a proximal small intestinal obstruction.

Findings:

Radiological imaging confirmed vascular duodenal compression, consistent with Wilkie's syndrome.
The patient's symptoms were directly attributed to the mechanical obstruction caused by the superior mesenteric artery.

Implications:

Timely surgical intervention can effectively decompress the duodenum and resolve symptoms in patients with Wilkie's syndrome.
This case highlights the importance of considering vascular etiologies in pediatric patients with unexplained upper gastrointestinal obstruction.