ISSN 1306-0015 | E-ISSN 1308-6278
Case Report
Wilkie's syndrome admitted for acute abdomen: A case presentation
1 Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey  
Turk Pediatri Ars ; : -
DOI: 10.5152/TurkPediatriArs.2018.3982
Key Words: Acute abdomen, duodenal obstruction, superior mesenteric artery
Abstract

 

Superior mesenteric artery syndrome, also known as Wilkie’s Syndrome, is a life threatening clinical entity which developes as a result of obstructed second or third part of duodenum compressed between aorta and superior mesenteric artery. In this rare syndrome, a rapid weight loss is accompanied by stomach ache, abdominal distension, lack of appetite, nausea and vomiting after meals. In patients admitted for acute abdomen, superior mesenteric artery syndrome should be included in the differential diagnosis in case of a preceeding rapid weight loss. X-ray of barium passage, abdominal ultrasound, gastroscopy, abdominal angio-tomography or abdominal magnetic resonance angiography may be useful for diagnosis. Conservative and surgical approaches are available for the treatment. In this report we aimed to emphasize that superior mesenteric artery syndrome cases may admit for acute abdomen and that superior mesenteric artery syndrome should be included in differential diagnosis.

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