Patient with both Wilkie syndrome and nutcracker syndrome.
Wilkie syndrome or superior mesenteric artery syndrome is a rare cause of duodenal obstruction in pediatric and adult age groups. Its manifestations are due to compression of the third portion of the duodenum between the aorta and the superior mesenteric artery. We present one case of a 29-year-old female with a recent history of epigastric pain and severe weight loss due to duodenal obstruction from superior mesenteric syndrome. She was treated conservatively with jejunostomy tube feeding to regain loss of weight. Our case is unique in that the patient has also nutcracker syndrome.
Barsoum
Michel K
MK
Division of Cardiovascular Diseases, Section of Vascular Diseases, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. barsoum.michel@mayo.edu
Shepherd
Roger Fj
RF
Welch
Timothy J
TJ
D000328:Adult; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D004386:Duodenum / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007582:Jejunostomy; D007674:Kidney Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D012082:Renal Veins / Q000000981:diagnostic imaging; D013478:Superior Mesenteric Artery Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D014057:Tomography, X-Ray Computed