[Wilkie's syndrome].
Loss of retroperitoneal fatty tissue as a result of a variety of debilitating conditions and noxa is believed to be the etiologic factor of superior mesenteric artery syndrome. A case of a 35 years old female patient with severe malnutrition and weight loss is presented, who developed superior mesenteric artery syndrome. Various theories of etiology, clinical course and treatment options of this uncommon disease are discussed. In our case, conservative management was inefficient, while surgical treatment aiming to bypass the obstruction by an anastomosis between the jejunum and the proximal duodenum (duodenojejunostomy) was successful. An interdisciplinary teamwork provides the most beneficial diagnostic and therapeutic result in this often underestimated disease.
Bognár
Gábor
G
Semmelweis Egyetem, Altalános Orvostudományi Kar II. sz. Sebészeti Klinika, 1125 Budapest, Kútvölgyi út 4. bgabor@kut.sote.hu
Ledniczky
György
G
Palik
Eva
E
Zubek
László
L
Sugár
István
I
Ondrejka
Pál
P
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000714:Anastomosis, Surgical; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007579:Jejunal Diseases / Q000601:surgery*; D044342:Malnutrition / Q000209:etiology; D010348:Patient Care Team; D012307:Risk Factors; D013478:Superior Mesenteric Artery Syndrome / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015431:Weight Loss