title: [Wilkie Syndrome. A case report].
abstract: BACKGROUND
  Wilkie syndrome, also referred as superior mesenteric artery syndrome, is an unusual cause of a proximal small bowel obstruction. It is characterised by the compression of the duodenum in its third portion due to a narrowing of the space between the superior mesenteric artery and the aorta. Its presentation symptoms are consistent and include the obstruction of the proximal small bowel. However, the physical and laboratory findings are non-specific. Nevertheless, many imaging methods are useful for its diagnosis. The management of this condition varies between observation and surgery, depending on each particular case.
  
  
  METHODS
  The case is presented of a 19 year-old male who began with acute, intense abdominal pain, nausea, vomiting, and diarrhoea. On examination, he had abdominal wall rigidity and hyperesthesia. Imaging studies were requested, revealing a decreased superior mesenteric artery angle, a shortening of the aortic mesenteric distance, and a decrease in the calibre of the third duodenal portion, all findings concomitant with Wilkie syndrome. Conservative treatment was applied and the patient was discharged without complications.
  
  
  CONCLUSIONS
  Wilkie syndrome continues to be an unknown condition to the general practitioner, and the underdiagnosis of this condition may put a patient at risk of serious complications. A high index of suspicion is required to reach a diagnosis. Early treatment should give a good outcome most of the time.
authors.affiliation: Facultad de Ciencias de la Salud, Universidad Panamericana, Ciudad de México, México. Electronic address: dr.gonzalezhermosillo@gmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: González Hermosillo-Cornejo
authors.affiliation: Cirugía General, Fundación Clínica Médica Sur, Ciudad de México, México.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Díaz Girón-Gidi
authors.affiliation: Cirugía General, Fundación Clínica Médica Sur, Ciudad de México, México.
authors.forename: Francisco Manuel
authors.initials: FM
authors.lastname: Vélez-Pérez
authors.affiliation: Cirugía General, Fundación Clínica Médica Sur, Ciudad de México, México.
authors.forename: Ramón Ignacio
authors.initials: RI
authors.lastname: Lemus-Ramírez
authors.affiliation: Cirugía General, Fundación Clínica Médica Sur, Ciudad de México, México.
authors.forename: Pablo
authors.initials: P
authors.lastname: Andrade Martínez-Garza
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000700:Analgesics / Q000627:therapeutic use; D000072700:Conservative Treatment; D003951:Diagnostic Errors; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D004384:Duodenoscopy; D004630:Emergencies; D005440:Fluid Therapy; D005759:Gastroenteritis / Q000175:diagnosis; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D007441:Intubation, Gastrointestinal; D008297:Male; D013478:Superior Mesenteric Artery Syndrome / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D000700:Analgesics
keywords: Arteria mesentérica superior; Cast syndrome; Superior mesenteric artery; Síndrome de Cast; Síndrome de Wilkie; Wilkie syndrome