Wilkie´s syndrome.
Carlos Oliva-Fonte1, Cristina Fernández Rey2, Javier Pereda Rodríguez3
1Radiodiagnóstico, Hospita General de Segovia, españa.
Revista Espanola De Enfermedades Digestivas
|January 20, 2017
Summary
Wilkie's syndrome, a rare cause of intestinal obstruction, occurs when the duodenum is compressed between the aorta and superior mesenteric artery. Multislice CT imaging is crucial for diagnosing this condition by measuring key anatomical measurements.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Anatomy
Background:
- Wilkie's syndrome, also known as superior mesenteric artery syndrome, is a rare condition causing duodenal obstruction.
- It results from external compression of the third portion of the duodenum between the abdominal aorta and the superior mesenteric artery (SMA).
Observation:
- A 14-year-old female presented with recurrent epigastric pain, vomiting, and abdominal distension.
- Previous similar episodes were noted, with no significant past medical history.
Findings:
- Computed tomography (CT) imaging revealed findings consistent with Wilkie's syndrome.
- Diagnostic criteria include a diminished aortomesenteric angle and decreased distance between the SMA and aorta.
Implications:
- Multislice CT is highly effective for diagnosing Wilkie's syndrome, offering multiplanar reconstructions for precise anatomical measurements.
- Early diagnosis aids in determining appropriate management, which can range from conservative measures to surgical intervention.
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