Wilkie syndrome

Case contributed by Dr Hugh Harvey

Presentation

Patient presents with intermittent upper abdominal pain and vomiting.

Patient Data

Age: 21
Gender: Male
Fluoroscopy

Barium meal

Dilatation of the proximal duodenum with marked compression in the midline of the 3rd part of the duodenum.

The superior mesenteric artery was confirmed on CT angiography to be compressing the duodenum

Case Discussion

Superior mesenteric artery (SMA) syndrome (also known as Wilkie syndrome) is an acquired vascular compression disorder in which acute angulation of the superior mesenteric artery (SMA) results in compression of the third part of the duodenum leading to obstruction of proximal bowel.

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Case information

rID: 18881
Case created: 26th Jul 2012
Last edited: 15th Oct 2015
Inclusion in quiz mode: Included

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