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Year : 2012  |  Volume : 1  |  Issue : 1  |  Page : 49-51

Wilkie's syndrome: A case report with review of literature

Department of Surgery, SVS Medical College, Mahabubnagar, Andhra Pradesh, India

Correspondence Address:
B Ananda Rama Rao
Professor of Surgery, Department of Surgery, SVS Medical College, Mahabubnagar, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2277-8632.94176

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Wilkie's syndrome, well known as superior mesenteric artery syndrome, is a rare but well-recognized clinical entity causing upper abdominal symptoms. A 26-year-old woman presented with recurrent upper abdominal pain, vomiting, loss of weight, early satiety, and fullness of upper abdomen for 2 years. She was subjected to open appendicectomy and laparoscopic adhesionolysis within 20 months without relief. Clinical suspicion and thorough investigation revealed compression at transverse portion (third part) of duodenum. Though ideally a duodenojejunostomy is preferred, due to technical reasons an anterior gastrojejunostomy was performed, which resulted in relief of obstructive symptoms.

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