Document Type
Article
Publication Date
4-1-2009
Identifier
PMCID: PMC3015928
Abstract
BACKGROUND: Superior mesenteric artery (SMA) syndrome, also called Wilkie's syndrome, is a rare clinical phenomenon believed to be caused by compression of the third portion of the duodenum by the overlying superior mesenteric artery. We present the case of a 32-year-old female who presented with epigastric pain, weight loss, and vomiting.
METHODS: Her workup included a normal upper endoscopy as well as an abdominal CT scan and upper GI contrast study that confirmed the diagnosis of superior mesenteric artery syndrome. The patient was taken to the operating room and underwent successful treatment with laparoscopic duodenojejunostomy.
RESULTS: The patient achieved complete relief of her symptoms and is able to eat a regular diet without difficulty. SMA syndrome is a real anatomic clinical pathology resulting in chronic, consistent obstructive symptoms. An upper GI series and CT scan with contrast can confirm the diagnosis.
CONCLUSION: Laparoscopic duodenojejunostomy should be considered the treatment of choice for these patients, because it offers a high likelihood of excellent outcome based on the current literature.
Journal Title
JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume
13
Issue
2
First Page
254
Last Page
259
MeSH Keywords
Adult; Duodenostomy; Endoscopy, Gastrointestinal; Female; Humans; Jejunostomy; Laparoscopy; Superior Mesenteric Artery Syndrome; Suture Techniques
Keywords
Wilkie's syndrome
Recommended Citation
Fraser, J. D., St Peter, S. D., Hughes, J. H., Swain, J. M. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome. JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons 13, 254-259 (2009).
