Extrinsic compression of the duodenum — Wilkies syndrome

Walsh, T. N.; McPhillips, Maeve; O’Higgins, N.

doi:10.1007/bf02960052

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…In 1982, the prevalence of SMAS in the general population was reported to be between 0.013 and 0.3% (4). It has also been reported that SMAS occurs most frequently in older children and young adults, with a higher incidence in females (5,6).…”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery syndrome caused by surgery and radiation therapy for a brain tumor: A case report

Lei

Wang

et al. 2015

Experimental and Therapeutic Medicine

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Superior mesenteric artery syndrome (SMAS) is defined as an obstruction of the third part of duodenum due to compression by the superior mesenteric artery. Although traumatic brain injury is a risk factor for SMAS, few cases of SMAS resulting from brain surgery have been reported. SMAS has been observed to occur following neurosurgical surgery in pediatric patients but, to the best of our knowledge, no such cases have been reported in adults. The present study reports the case of a 21-year-old female patient who developed SMAS after persistent vomiting and prolonged weight loss following cerebellar tumor resection and cranial irradiation. The SMAS was confirmed by computed tomography and resolved following successful nutritional management.

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Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery syndrome caused by surgery and radiation therapy for a brain tumor: A case report

Lei

Wang

et al. 2015

Experimental and Therapeutic Medicine

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“…Plain abdominal X‐ray may show a hugely dilated stomach with paucity of distal bowel gas or a ‘double bubble’ gas pattern caused by marked stasis and dilatation within the stomach and duodenum 18,19 …”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery syndrome: Report of two patients and review of the literature

Alabkari

Aljaroof

2003

Annals of the College of Surgeons of Hong Kong

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Superior mesenteric artery syndrome is a rare disease that should be considered in the differential diagnosis of upper abdominal pain, vomiting and weight loss. Compression of the third part of the duodenum between the superior mesenteric artery anteriorly and the aorta and the spinal cord posteriorly may result in high intestinal obstruction. Surgical treatment with duodenojejunostomy is indicated if proper conservative treatment has failed. Two patients are reported in the present case. One patient presented with acute surgical abdomen, which was an unusual presentation of superior mesenteric artery syndrome, while the second patient had classic features of the syndrome. Both patients were successfully treated with duodenojejunostomy. The pathophysiology, clinical presentation, investigation and management of this condition are discussed.

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