Prolonged gastroparesis after corrective surgery for Wilkie's syndrome: A case report

被引：7

作者：

Aslam M.I. ^{[1
]}

Finch J.G. ^{[1
]}

机构：

[1] Northampton General Hospital, Northampton NN1 5BD, Cliftonville

来源：

Journal of Medical Case Reports | / 2卷 / 1期

关键词：

Superior Mesenteric Artery; Abdominal Aortic Aneurysm; Gastroparesis; Delayed Gastric Emptying; Duodenal Obstruction;

D O I：

10.1186/1752-1947-2-109

中图分类号：

学科分类号：

摘要：

Introduction: Wilkie's syndrome, a rare cause of intestinal obstruction, is related to anatomical and mechanical factors associated with the reduction of retroperitoneal fat padding. The diagnostic challenges of identifying vascular constriction between the aorta and superior mesenteric artery have been answered by advances in the field of computed tomography. Despite diagnostic confusion with intestinal dysmotility syndrome, conservative therapy with nutritional supplementation is the initial approach and duodenojejunostomy is favoured if non-surgical treatment fails. Case presentation: We presenta case of a 49-year-old woman with Wilkie's syndrome with persistent symptoms of gastroparesis for 15 months following corrective surgery. Conclusion: Open and laparoscopic duodenojejunostomy have been described as the best surgical treatment options for Wilkie's syndrome, but further work needs to be done for patients with refractory symptoms of gastroparesis after these corrective surgeries. © 2008 Aslam and Finch; licensee BioMed Central Ltd.

引用

共 8 条

[1]

Baltazar U., Dunn J., Floresguerra C., Schmidt L., Browder W., Superior mesenteric artery syndrome: An uncommon cause of intestinal obstruction, South Med J, 93, pp. 606-608, (2000)

[2]

Strong E.K., Mechanics of arteriomesentric duodenal obstruction and direct surgical attack upon etiology, Ann Surg, 148, pp. 725-730, (1958)

[3]

Goin L.S., Wilk S.P., Intermittent arteriomesenteric occlusion of the duodenum, Radiology, 67, pp. 729-733, (1958)

[4]

Mansberger Jr. A.R., Hearn J.B., Byers R.M., Fleisig N., Buxton R.W., Vascular compression of the duodenum. Emphasis on accurate diagnosis, Am J Surg, 115, pp. 89-96, (1968)

[5]

Unal B., Aktas A., Kemal G., Bilgili Y., Guliter S., Daphan C., Aydinuraz K., Superior mesenteric artery syndrome: CT and ultrasonography findings, Diagn Interv Radiol, 11, pp. 90-95, (2005)

[6]

Rajeev Jain M.D., Superior mesenteric artery syndrome, Curr Treat Options Gastroenterol, 10, pp. 24-27, (2007)

[7]

Akin Jr. J.T., Gray S.W., Skandalakis M.D., Vascular compression of the duodenum. Presentation of 10 cases and review of the literature, Surgery, 79, pp. 515-552, (1976)

[8]

Kim I.Y., Cho N.C., Kim D.S., Rhoe B.S., Laparoscopic duodenojejunostomy for management of superior mesenteric artery syndrome: Two case reports and a review of the literature, Yonsei Med J, 44, pp. 526-529, (2003)

← 1 →