Wilkie's syndrome: a case of duodenal occlusion by aortomesenteric clamp

Authors

  • Martín Varela Vega General Surgery Department. Central Hospital of the Armed Forces. https://orcid.org/0000-0003-2376-2844
  • Federico Durán Department of General Surgery. Integral Medical Service. Impasa Sanatorium. Montevideo. Uruguay.
  • Gabriela Larrosa Department of General Surgery. Integral Medical Service. Impasa Sanatorium. Montevideo. Uruguay.
  • Susana Reyes Department of General Surgery. Integral Medical Service. Impasa Sanatorium. Montevideo. Uruguay. https://orcid.org/0000-0001-8922-362X
  • José Cabillón Department of General Surgery. Integral Medical Service. Impasa Sanatorium. Montevideo. Uruguay. https://orcid.org/0000-0002-8834-6465
  • Fernando Simonet Department of General Surgery. Integral Medical Service. Impasa Sanatorium. Montevideo. Uruguay. https://orcid.org/0000-0002-9341-5189

DOI:

https://doi.org/10.35954/SM2017.36.1.6

Keywords:

Superior Mesenteric Artery Syndrome; Wilkie Syndrome

Abstract

Wilkie´s syndrome or Superior Mesenteric Artery Syndrome, is the duodenal obstruction at its third portion,
due to the narrowing of the aorto-mesenteric clamp angle. It usually evolves progressively with chronic
elements and a great gastro-duodenal distention.
Clinical characteristics are: colic-type pain on the upper abdomen area which improves with profuse and biliary vomiting.
Report of a Superior Mesenteric Artery Syndrome case, diagnosed and surgically solved in our Service.
Patient with elements of a duodenal stenosis, with a diagnosis of Wilkie´s syndrome and surgical treatment
through the duodenal-jejune bypass, achieving good results.

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Author Biography

Martín Varela Vega, General Surgery Department. Central Hospital of the Armed Forces.

Chair Assistant (Surgical Clinic B). Hospital de Clínicas "Dr. Manuel Quintela". Montevideo, Uruguay.

References

(1) Etxebarria Beitia E, Díez del Val I, Loureiro González C, González Serrano C, Bilbao Axpe JE. Duodeno yeyunostomía laparoscópica como tratamiento del síndrome de la arteria mesentérica superior. Cir Esp 2014; 92(2):129-31.

(2) Rodríguez Caraballo L, Carazo Palacios ME, Ibáñez Pradas V, Rodríguez Iglesias P. Síndrome de Wilkie: diagnóstico diferencial de dolor abdominal. An Pediatr (Barc) 2015; 82(6):445-46.

(3) Rodriguez A, Romero Vidomlansky S, Ferrarotti C, Larrañaga N, Gallo JC, Kozima S. Síndrome de la arteria mesentérica superior. Presentación de un caso. Rev Argent Radiol 2014; 78(2):96-98.

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(5) Núñez Gaviño P, Vázquez Ferro D, Bazarra Carou R, Deza Garrote T. Síndrome de la arteria mesentérica superior o síndrome de Wilkie. FMC 2013; 20(2):114-5.

(6) Jo JB, Song Y, Park CH. Laparoscopic duodenoje-junostomy for superior mesenteric arterys yndrome: report of a case. Surg Laparosc Endosc Percutan Tech 2008; 18(2):213-215.

(7) Kurklinsky A, Rooke T. Nutcracker phenomenon and nutcracker syndrome. Mayo Clin Proc 2010; 85(6):552-59.

(8)GustafssonL,FalkA,LukesPJ,GamklouR. Diagnosis and treatment of superior mesenteric artery síndrome. Br J Surg 1984; 71(7):499-501.

(9) Kellog E, Kellog W. Chronic duodenal obstruction with duodenojejunostomy as a method of treatment. Report of forty-one operations. Ann Surg 1921; 73(5):578-608.

Published

2017-06-29

How to Cite

1.
Varela Vega M, Durán F, Larrosa G, Reyes S, Cabillón J, Simonet F. Wilkie’s syndrome: a case of duodenal occlusion by aortomesenteric clamp. Salud Mil [Internet]. 2017 Jun. 29 [cited 2026 Apr. 26];36(1):51-4. Available from: https://www.revistasaludmilitar.uy/ojs/index.php/Rsm/article/view/135

Issue

Section

Case Reports

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