Epigastric Pain and Weight Loss – A Case of Wilkie’s Syndrome

European Journal of Case Reports in Internal Medicine

Tatiana Salazar¹  Ana Lima Silva¹  Joana Cordeiro Cunha¹  Carla Madureira Pinto¹  Daniela Antunes¹  Diana Fernandes¹  Renato Nogueira¹ 

[1] Internal Medicine Department, Centro Hospitalar do Médio Ave, Unidade de Famalicão, Vila Nova de Famalicão, Portugal;

关键词: wilkie’s syndrome;    superior mesenteric artery syndrome;    duodenal obstruction;   

DOI  :  10.12890/2020_001557

来源: DOAJ

【 摘 要 】

Superior mesenteric artery syndrome (SMA syndrome) or Wilkie’s syndrome is a rare etiology of duodenal obstruction due to compression of the third portion of the duodenum between the superior mesenteric artery and the aorta. Physical and laboratory findings are often non-specific but imaging methods are useful for diagnosing the condition. A 46-year-old female patient presented to the outpatient clinic of our internal medicine department with a 2-year history of epigastric pain, nausea, early satiety and weight loss of 15 kg. Previous studies were inconclusive. The patient underwent computed tomography enterography and its findings were consistent with SMA syndrome. Currently the patient is being followed by General Surgery and Nutrition and is under nutritional measures in order to optimize her body mass index to decrease possible surgical complications.This case report emphasizes the importance of clinical suspicion and careful investigation when considering less common etiologies for frequent gastrointestinal symptoms.

【 授权许可】

Unknown