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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X

Abstract

CASTILLO WISMAN, Mario Andrés; ALVAREZ GALAN, María del Carmen; RODRIGUEZ-BOBADA AGUIRRE, Raimundo  and  ARENAS MOSQUEDA, Julián. Recurrent psychological or anatomical abdominal pain secondary to Wilkie's syndrome. Rev Clin Med Fam [online]. 2014, vol.7, n.2, pp.130-133. ISSN 2386-8201.  http://dx.doi.org/10.4321/S1699-695X2014000200007.

Superior mesenteric artery (SMA) (or Wilkie's) syndrome is a rare cause for upper abdominal pain and obstruction, due to compression of the third portion of the duodenum, between the aorta and the superior mesenteric artery. The patient presents with symptoms such as nausea, vomiting, epigastric pain, underweight or early satiety. As abdominal pain is a frequent reason for primary care consultations and using emergency services, we present this unusual case, which should be born in mind within the differential diagnosis of abdominal pain with recurrent symptoms with no response to medical management. In spite of being rare, SMA is an increasingly common pathology within our population, due to the increase in traumatic surgery, major surgery, eating disorders, drug abuse, burns, paraplegias and disabilities. It can be diagnosed from primary care since the patients are very demanding because of the lack of response to initial medical treatment if the nutritional importance in the management of these patients is unknown. We present its symptomatology, risk groups, differential diagnosis and treatment.

Keywords : Duodenal obstruction; Superior mesenteric artery syndrome; Duodenojejunostomy; Acute weight loss.

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