title: Portal venous gas and thrombosis complicating superior mesenteric artery syndrome (Wilkie's syndrome) in a child.
abstract: We report a case of a 10-year-old girl presenting with portal venous gas and thrombosis associated with superior mesenteric artery syndrome. To our knowledge, this is the first reported case of superior mesenteric artery syndrome complicated by gastric wall pneumatosis, portal venous gas, and thrombosis in childhood. Although these complications usually lead to bowel resection in adults and result in a high mortality rate, our pediatric patient was successfully treated nonoperatively with intensive care management and jejunal tube feedings. Presence of portal venous gas may occur in superior mesenteric artery syndrome in children and does not necessarily lead to bowel injury, allowing conservative medical management as a first-line treatment.
authors.affiliation: Department of Pediatric Surgery, CHU Côte de Nacre, 14000 Caen, France. rod-j@chu-caen.fr
authors.forename: Julien
authors.initials: J
authors.lastname: Rod
authors.forename: Sabine
authors.initials: S
authors.lastname: Sarnacki
authors.forename: Thierry
authors.initials: T
authors.lastname: Petit
authors.forename: Philippe
authors.initials: P
authors.lastname: Ravasse
mesh_terms: D002648:Child; D005260:Female; D018662:Fundoplication / Q000009:adverse effects; D006801:Humans; D007511:Ischemia / Q000209:etiology; D011169:Portal Vein; D013270:Stomach / Q000098:blood supply; D013478:Superior Mesenteric Artery Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy