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  • Title: Wilkie's syndrome as a cause of bowel obstruction in adults: A case report.
    Author: Requena-López AA, Mata-Samperio BK, Cuadra-Reyes LA, Casillas-Vargas R.
    Journal: Cir Cir; 2020; 88(2):185-188. PubMed ID: 32116320.
    Abstract:
    BACKGROUND: The superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, is one of the rarest causes of small bowel obstruction. CLINICAL CASE: A 36-year-old female patient, with a medical history of diabetes mellitus type 2, arrived at the emergency department with upper intestinal obstruction; a study protocol is made, integrating the diagnosis of Wilkie's syndrome. We performed a laparoscopic duodenojejunostomy, the patient did well in the post-operative period. CONCLUSIONS: Laparoscopic duodenojejunostomy is a practical option to treat Wilkie's syndrome. It provides definitive treatment with the advantages and benefits of minimally invasive surgery. ANTECEDENTES: El síndrome de la arteria mesentérica superior o síndrome de Wilkie es una de las causas más raras de obstrucción del intestino Delgado. CASO CLÍNICO: Mujer de 36 años, con antecedente de diabetes mellitus tipo 2, que llegó al servicio de urgencias con un cuadro de oclusión intestinal alta. Se realizó protocolo de estudio, integrando el diagnóstico de síndrome de Wilkie. Se realizó anastomosis duodenoyeyunal laparoscópica y la paciente cursó con adecuada evolución posquirúrgica. CONCLUSIONES: La anastomosis duodenoyeyunal laparoscópica es una opción práctica en el tratamiento del síndrome de Wilkie, con las ventajas y beneficios de la cirugía de mínima invasión.
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