Rare cause of small bowel obstruction: Wilkie's syndrome, a case report

Year 2023, , 170 - 174, 28.02.2023

Ramazan Serdar Arslan , Mehmet Ali Şemşit , Süleyman Diker

https://doi.org/10.53446/actamednicomedia.1201279

Abstract

Mechanical blockage of the bowel frequently causes abdominal pain, nausea, vomiting and distention. Post-surgical adhesions are the most common etiologies. Wilkie syndrome develops as a result of compression of the third part of the duodenum between the aorta and the superior mesenteric artery and it is extremely rare. The patients are mostly cachectic due to inadequate nutrition. Surgical intervention, especially duodenojejunostomy, is a preferred method in the treatment of the disease. Multidisciplinary approach is important in the diagnosis, treatment and management of the disease.

Keywords

Wilkie syndrome, Superior mesenteric artery syndrome, duodenojejunostomy, duodenal obstruction

İnce barsak obstrüksiyonunda nadir bir etyoloji: Wilkie Sendromu, olgu sunumu

Abstract

Mekanik barsak obstrüksiyonunda sıklıkla karın ağrısı, mide bulantısı, kusma ve distansiyon görülür. Sıklıkla operasyon sonrası yapışıklıklara sekonder olarak görülür. Wilkie sendromu duodenum üçüncü kısmının aort ve superior mezenterik arter arasında sıkışması sonucunda oluşan, ender görülen, mekanik barsak obstrüksiyon sebeplerinden biridir. Hastalar bulantı, kusma, yetersiz beslenme nedeniyle çoğunlukla kaşektiktir. Cerrahi girişim, özellikle duodenojejunostomi, hastalığın tedavisinde tercih edilen bir yöntemdir. Multidisipliner yaklaşım hastalığın tanı, tedavi ve yönetiminde önemlidir.

Keywords

Süperior mezenterik arter sendromu, Wilkie Sendromu, Duodenojejunostomi, Mekanik barsak obstrüksiyonu

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