Silva, Ana and Antunes, Daniela and Cunha, Joana and Nogueira, Renato and Fernandes, Diana and Salazar, Tatiana and Pinto, Carla (2020) Epigastric Pain and Weight Loss – A Case of Wilkie’s Syndrome. European Journal of Case Reports in Internal Medicine, 7 (5). ISSN 2284-2594
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Abstract
Superior mesenteric artery syndrome (SMA syndrome) or Wilkie’s syndrome is a rare etiology of duodenal obstruction due to compression of the third portion of the duodenum between the superior mesenteric artery and the aorta. Physical and laboratory findings are often non-specific but imaging methods are useful for diagnosing the condition. A 46-year-old female patient presented to the outpatient clinic of our internal medicine department with a 2-year history of epigastric pain, nausea, early satiety and weight loss of 15 kg. Previous studies were inconclusive. The patient underwent computed tomography enterography and its findings were consistent with SMA syndrome. Currently the patient is being followed by General Surgery and Nutrition and is under nutritional measures in order to optimize her body mass index to decrease possible surgical complications.This case report emphasizes the importance of clinical suspicion and careful investigation when considering less common etiologies for frequent gastrointestinal symptoms.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Wilkie’s syndrome, superior mesenteric artery syndrome, duodenal obstruction |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 24 Nov 2020 14:02 |
| Last Modified: | 24 Nov 2020 14:02 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/20090 |
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