title: [Wilkie's syndrome].
abstract: 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.
authors.affiliation: Semmelweis Egyetem, Altalános Orvostudományi Kar II. sz. Sebészeti Klinika, 1125 Budapest, Kútvölgyi út 4. bgabor@kut.sote.hu
authors.forename: Gábor
authors.initials: G
authors.lastname: Bognár
authors.forename: György
authors.initials: G
authors.lastname: Ledniczky
authors.forename: Eva
authors.initials: E
authors.lastname: Palik
authors.forename: László
authors.initials: L
authors.lastname: Zubek
authors.forename: István
authors.initials: I
authors.lastname: Sugár
authors.forename: Pál
authors.initials: P
authors.lastname: Ondrejka
mesh_terms: 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