Abstract

LOJA OROPEZA, David; ALVIZURI ESCOBEDO, José; VILCA VASQUEZ, Maricela  and  SANCHEZ MERCADO, Mario. Síndrome de Wilkie: compresión vascular del duodeno. Rev. gastroenterol. Perú [online]. 2002, vol.22, n.3, pp.248-252. ISSN 1022-5129.

We present the clinical case of a patient with vascular compression of the duodenum or superior mesenteric artery compression syndrome. A female 42 years old, with history of two months of evolution characterized for postprandial epigastric colic, without irradiation, accompanied of nausea and incoercible vomit. Ponderal loss and gastric shaking. A double contrast gastric duodenum x-ray showed the duodenal frame with exaggerated dilatation and stenosis close to the Treitz angle, through which the contrast barely flows. The endoscopy revealed duodenal obstruction, gastric retention and erosive esofagitis. The computerized tomography identified a significant dilatation of the duodenal arc, with stenosis on the aortal-mesenteric pincer. It performed an exploratory laparotomy, making a latero-lateral duodenoyeyunoanastomosis transmesocolic. Satisfactory evolution and discharge without complications.

Keywords : Duodenal obstruction; Aortal-mesenteric pincer; Abdominal pain; Gastric bazuqueo; duodenoyeyunoanastomosis.