title: Superior mesenteric artery syndrome (Wilkie's syndrome) complicating recovery from posterior fossa surgery in a child--a rare phenomenon.
abstract: BACKGROUND
  Superior mesenteric artery or Wilkie's syndrome is defined as compression of the third part of duodenum by superior mesenteric artery. It has not been previously reported in children after neurosurgical procedures.
  
  
  METHODS
  We present the case of a child who had persistent vomiting after surgery for posterior fossa astrocytoma complicated by low pressure hydrocephalus.
  
  
  CONCLUSIONS
  Despite eventual hydrocephalus control, vomiting persisted, and she was diagnosed with superior mesenteric artery syndrome, this being confirmed radiologically and settled with appropriate nutritional management.
authors.affiliation: Department of Neurosurgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
authors.forename: Debarata
authors.initials: D
authors.lastname: Bhattacharya
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Kamel
authors.forename: David
authors.initials: D
authors.lastname: McAuley
mesh_terms: D001254:Astrocytoma / Q000150:complications / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000628:therapy; D015192:Infratentorial Neoplasms / Q000150:complications / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D011859:Radiography; D035583:Rare Diseases; D013478:Superior Mesenteric Artery Syndrome / Q000000981:diagnostic imaging / Q000178:diet therapy / Q000209:etiology*; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*; D014839:Vomiting / Q000209:etiology