Wilkie’s syndrome. An Uncommun cause of small obstruction in a young patient


COD: 2479_28_12_2015_ep Categorie: ,

Antonio Pesce, Federica Di Marco, Rocco Stissi, Giovanni Li Destri, Stefano Puleo

Ann. Ital. Chir.Published online (EP) 28 December 2015

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Superior mesenteric artery (SMA) syndrome, also named as Wilkie’s syndrome, is a rare, potentially life-threatening gas-tro-vascular disorder and an uncommon cause of proximal bowel obstruction characterized by a compression of the thirdand final portion of the duodenum by the abdominal aorta and the overlying superior mesenteric artery. There isn’t aconsensus regarding to the optimal treatment of this condition. We describe a case of Wilkie’s syndrome in a young femalewith characteristic symptoms of upper intestinal obstruction, whose diagnosis was delayed for 2 years.