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Wilkie's syndrome admitted for acute abdomen: A case presentation
Hasret Ayyıldız Civan1, Didem Gülcü1, Tülay Erkan1
1Department of Pediatrics, Division of Pediatric Gastroneterology, Hepatology and Nutrition, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey.
Turk Pediatri Arsivi
|November 22, 2018
Summary
Superior mesenteric artery syndrome (Wilkie's Syndrome) obstructs the duodenum, causing severe abdominal pain and vomiting after eating. Early diagnosis is crucial for patients presenting with acute abdomen, especially after rapid weight loss.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Abdominal Imaging
Background:
- Superior mesenteric artery syndrome (SMAS), or Wilkie's Syndrome, is a rare but life-threatening condition.
- It results from duodenal compression between the aorta and superior mesenteric artery.
Observation:
- Patients experience postprandial abdominal pain, distension, anorexia, nausea, and vomiting.
- Rapid weight loss is a key preceding factor.
- SMAS should be considered in acute abdomen cases with a history of significant weight loss.
Findings:
- Diagnostic tools include barium X-ray, ultrasound, gastroscopy, CT angiography, and MR angiography.
- Both conservative and surgical treatments are effective.
Implications:
- Highlights the importance of considering SMAS in the differential diagnosis of acute abdomen.
- Emphasizes the need for prompt diagnostic workup in at-risk patients.
- Aims to improve patient outcomes through earlier recognition and intervention.