Laparoscopic management for Wilkie´s syndrome

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Wilkie's syndrome, or superior mesenteric artery syndrome, is a rare condition causing chronic intestinal obstruction due to aorto-mesenteric angle compression.
• It has a low incidence (0.012-2.4%) but carries significant morbidity and mortality risks.
• Diagnostic and treatment controversies surround this entity.

Purpose of the Study:

• To present a case report of Wilkie's syndrome.
• To detail the surgical management of a patient with this condition.
• To review the current literature on diagnosis and treatment.

Main Methods:

• A case of a 27-year-old patient with a 20-year history of abdominal pain consistent with Wilkie's syndrome was analyzed.
• Literature review conducted using PubMed and ScienceDirect databases (past 8 years).
• Surgical intervention via laparoscopic duodeno-jejunostomy was performed.

Main Results:

• The patient presented with refractory symptoms despite medical management.
• Laparoscopic duodeno-jejunostomy was successfully performed without perioperative complications.
• The patient achieved satisfactory outcomes post-surgery.

Conclusions:

• Superior mesenteric artery syndrome necessitates surgical intervention in some cases.
• Laparoscopic duodeno-jejunostomy is a preferred surgical option for Wilkie's syndrome.
• Case findings align with existing medical literature supporting this laparoscopic approach.