Wilkie syndrome or superior mesenteric artery syndrome is a rare cause of duodenal obstruction in pediatric and adult age groups. Its manifestations are due to compression of the third portion of the duodenum between the aorta and the superior mesenteric artery. We present one case of a 29-year-old female with a recent history of epigastric pain and severe weight loss due to duodenal obstruction from superior mesenteric syndrome. She was treated conservatively with jejunostomy tube feeding to regain loss of weight. Our case is unique in that the patient has also nutcracker syndrome.
3 Dorph MH . The cast syndrome; review of the literature and report of a case. N Engl J Med1950; 243: 440–442.
4.
4 Biank V Werlin S . Superior mesenteric artery syndrome in children: a 20-year experience. J Pediatr Gastroenterol Nutr2006; 42: 522–525.
5.
5 Hines JR Gore RM Ballantyne GH . Superior mesenteric artery syndrome. Diagnostic criteria and therapeutic approaches. Am J Surg1984; 148: 630–632.
6.
6 Ylinen P Kinnunen J Hockerstedt K . Superior mesenteric artery syndrome. A follow-up study of 16 operated patients. J Clin Gastroenterol1989; 11: 386–391.
7.
7 Crowther MA Webb PJ Eyre-Brook IA . Superior mesenteric artery syndrome following surgery for scoliosis. Spine2002; 27: E528–E533.
8.
8 Iwaoka Y Yamada M Takehira Y . Superior mesenteric artery syndrome in identical twin brothers. Intern Med2001; 40: 713–715.
9.
9 Cohen LB Field SP Sachar DB . The superior mesenteric artery syndrome. The disease that isn’t, or is it. J Clin Gastroenterol1985; 7: 113–116.
10.
10 Lim JE Duke GL Eachempati SR . Superior mesenteric artery syndrome presenting with acute massive gastric dilatation, gastric wall pneumatosis, and portal venous gas. Surgery2003; 134: 840–843.
11.
11 Reckler JM Bruck HM Munster AM Curreri PW Pruitt BA . Superior mesenteric artery syndrome as a consequence of burn injury. J Trauma1972; 12: 979–985.
12.
12 Santer R Young C Rossi T Riddlesberger MM . Computed tomography in superior mesenteric artery syndrome. Pediatr Radiol1991; 21: 154–155.
13.
13 Sundaram P Gupte GL Millar AJ McKiernan PJ . Endoscopic ultrasound is a useful diagnostic test for superior mesenteric artery syndrome in children. J Pediatr Gastroenterol Nutr2007; 45: 474–476.
14.
14 Munns SW Morrissy RT Golladay ES McKenzie CN . Hyperalimentation for superior mesenteric-artery (cast) syndrome following correction of spinal deformity. J Bone Joint Surg Am1984; 66: 1175–1177.
15.
15 Pourhassan S Grotemeyer D Furst G Rudolph J Sandmann W . Infrarenal transposition of the superior mesenteric artery: a new approach in the surgical therapy for Wilkie syndrome. J Vasc Surg2008; 47: 201–204.
16.
16 Gustafsson L Falk A Lukes PJ Gamklou R . Diagnosis and treatment of superior mesenteric artery syndrome. Br J Surg1984; 71: 499–501.
17.
17 Bermas H Fenoglio ME . Laparoscopic management of superior mesenteric artery syndrome. JSLS2003; 7: 151–153.
18.
18 Grant J . Methods of anatomy.Baltimore: Williams and Wilkins; 1937.
19.
19 Chait A Matasar KW Fabian CE Mellins HZ . Vascular impressions on the ureters. Am J Roentgenol Radium Ther Nucl Med1971; 111: 729–749.
20.
20 Basile A Tsetis D Calcara G . Percutaneous nitinol stent implantation in the treatment of nutcracker syndrome in young adults. J Vasc Interv Radiol2007; 18: 1042–1046.
