Journal de la Faculté de Médecine
Volume 7, Numéro 2, Pages 943-946
2023-12-27
Laparoscopic Duodeno-jejunostomy, A Minimaly Invasive Surgery In The Managment Of Wilkie Syndrome: A Case Report.
Authors : Tidjane Anisse . Boudjenan-serradj Nabil . Larbi Mohammed Hakim . Manouni Chafika . Derriche Hamid . Tabeti Benali .
Abstract
The superior mesenteric artery syndrome (SMAS), also known as Wilkie's syndrome, is a duodenal obstruction caused by the compression of the third part of the duodenum between the superior mesenteric artery (SMA) and the aorta. This condition often arises due to the disappearance of perivascular fatty tissue, as well as advanced stages of malnutrition and weight loss. Patients typically experience symptoms such as vomiting, fullness, and postprandial epigastric pain. While initial management involves conservative measures, surgery becomes necessary if symptoms do not improve. Here, we present the case of a 25-year-old man diagnosed with SMAS. Despite undergoing conservative management for 3 months, the symptoms did not regress. Subsequently, a laparoscopic duodeno-jejunostomy was performed, resulting in an uneventful postoperative period, disappearance of vomiting and epigastric pain, and a weight gain of 14 kg after 1 year.
Keywords
Superior Mesenteric Artery Syndrome; Wilkie; Laparoscopic Duodeno-Jejunostomy; Minimally Invasive Surgery ;
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