Wilkie’s Syndrome: A Rare Cause of Chronic Abdominal Pain in a Young Patient

Authors

DOI:

https://doi.org/10.22516/25007440.1180

Keywords:

Superior mesenteric artery syndrome, duodenal mesenteric compression syndrome

Abstract

Wilkie’s syndrome is classified among vascular compression syndromes, with a low incidence rate. This case report details a young patient who presented with chronic abdominal pain, symptoms of chronic intestinal obstruction, and significant weight loss. Following multiple hospitalizations and a contrast-enhanced abdominal CT scan, the patient was diagnosed with superior mesenteric artery syndrome (SMAS). After initiating medical therapy, the patient’s condition improved significantly. This report also includes a literature review on the topic and underscores the importance of maintaining a high index of clinical suspicion to ensure timely diagnosis and appropriate guidance for medical or surgical management.

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Author Biographies

Jhoan Emmanuel Orjuela Quiroga, Universidad Libre

Internal Medicine Resident, Interinstitutional Group of Internal Medicine (GIMI), Universidad Libre. Cali, Colombia.

Juan Pablo Sierra Morcillo, Clínica Versalles

ICU Attending Physician, Clínica Versalles. Cali, Colombia.

Antonio José Paredes Fernández , Universidad Libre

Internist, Universidad Libre, Interinstitutional Group of Internal Medicine (GIMI). Cali, Colombia.

Marcela Patiño Arboleda, Universidad Libre

Internist, Interinstitutional Group of Internal Medicine (GIMI), Universidad Libre. Cali, Colombia.

Leopoldo Garcés Villabón, Clínica Versalles

Intensivist Internist, Intensive Care Unit Coordinator, Clínica Versalles. Cali, Colombia.

Gilberto Jaramillo Trujillo, Clínica Versalles

Gastroenterologist Internist, coordinator of the Gastroenterology Service, Clínica Versalles. Cali, Colombia.

References

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Figure 1. Double-Contrast Total Abdominal Tomography. A. Sagittal section, arterial phase. The aortomesenteric clamp is visualized at an angle of 8º. B. Cross section, arterial phase. The aortomesenteric distance of 5 mm is visualized. Images property of the authors.

Published

2025-04-12

How to Cite

Orjuela Quiroga, J. E., Sierra Morcillo, J. P., Paredes Fernández , A. J., Patiño Arboleda, M., Garcés Villabón, L., & Jaramillo Trujillo, G. (2025). Wilkie’s Syndrome: A Rare Cause of Chronic Abdominal Pain in a Young Patient. Revista Colombiana De Gastroenterología, 40(1), 68–72. https://doi.org/10.22516/25007440.1180

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Section

Case report