Abstract

CERVANTES PEREZ, Enrique; MARTINEZ-SOTOHOLGUIN, Martha C.; DIAZ JUAREZ, Juan Pedro  and  REYES RAMIREZ, Ana Luz del C.. Wilkie's syndrome caused by exogenous hyperthyroidism in a patient with primary autoimmune hypothyroidism: a case report and literature review. Rev. gastroenterol. Perú [online]. 2020, vol.40, n.3, pp.274-277. ISSN 1022-5129.

Wilkie's syndrome or superior mesenteric artery syndrome is an unusual cause of proximal intestinal obstruction, primarily attributed to recent weight loss. We report the case of a 19-year-old woman comes to our clinic and reports weight loss, abdominal pain, nausea, and vomiting. Laboratory tests revealed anemia, hypoalbuminemia, hypomagnesemia, and a suppressed thyroid stimulating hormone secondary to levothyroxine. A barium swallow test showed gastric dilatation, delayed gastric emptying and an axial computed tomography revealed an aortomesenteric angle of 11.7°. Conservative management with total parenteral and enteral nutrition was initiated, being the first-line treatment. In refractory cases surgery is a safe and effective option.

Keywords : Wilkie syndrome; Superior mesenteric artery syndrome; Intestinal obstruction; Nutritional therapy.

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