Síndrome Wilkie em paciente jovem: um relato de caso

Abstract

Introduction: Superior Mesenteric Artery Syndrome (SAMS), also known as Wilkie’s syndrome, is a rare cause of duodenal obstruction and results from compression of the third portion of the duodenum by the superior mesenteric artery and the aorta. Description: patient admitted to the Hospital Regional de Sobradinho (DF) complaining of abdominal pain and vomiting for about 2 months. The diagnosis of Superior Mesenteric Artery Syndrome was defined and corroborated in an entero tomography. This is a young female patient. A penrose drain was placed in a surgical site, exteriorized and fixed to the skin with nylon 4.0. Test liquid oral diet started on the 4th POD and progressed in the following days. The patient remained with a penrose drain on the right flank, with low drainage of serohematic secretion, which was removed on the 7th POD. In addition, during the hospitalization period, the psychiatric team questioned the diagnosis of bulimia nervosa, and the symptoms were found to have a psychiatric component. Conclusions: Superior Mesenteric Artery Syndrome or Wilkie’s syndrome is a rare condition of potentially fatal duodenal obstruction. Disease with very unspecific symptoms, whose clinical diagnosis requires a high index of suspicion.