Oclusión gastroduodenal crónica por  síndrome de Wilkie: reporte de un caso

Vinicio Xavier Jiménez Morejón; Martín Álvaro Ormaechea Fossati; Nelson Carlos Juambeltz Dogliotti

doi:10.47464/MetroCiencia/vol28/2/2020/12-18

Authors

Vinicio Xavier Jiménez Morejón Centro Hospitalario Pereira Rossell y Universidad de la República Oriental del Uruguay https://orcid.org/0000-0002-6665-5072
Martín Álvaro Ormaechea Fossati Centro Hospitalario Pereira Rossell y Universidad de la República Oriental del Uruguay https://orcid.org/0000-0001-9530-4397
Nelson Carlos Juambeltz Dogliotti Centro Hospitalario Pereira Rossell y Universidad de la República Oriental del Uruguay https://orcid.org/0000-0001-7957-4338

DOI:

https://doi.org/10.47464/MetroCiencia/vol28/2/2020/12-18

Keywords:

Superior mesenteric artery syndrome, duodenal obstruction, duodenogastric reflux, laparotomy, anastomosis, surgical, gastroparesis

Abstract

Superior mesenteric artery syndrome or "Wilkie syndrome" is a very rare entity, characterized by significant weight loss and vomiting of partially digested food. The diagnostic suspicion is based on the presence of predisposing and/or risk factors. Imaging studies such as serial esophagogastroduodenum and Doppler ultrasound allow its confirmation. The primary treatment is supported by adequate nutrition. Following the failure of medical treatment, surgical management is indicated with different techniques to resolve the occlusion. We present the case of a teenager with chronic gastroduodenal occlusion, failure in medical treatment and surgical resolution with good results.

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Author Biographies

Vinicio Xavier Jiménez Morejón, Centro Hospitalario Pereira Rossell y Universidad de la República Oriental del Uruguay

Residente de Cirugía Pediátrica, Clínica Quirúrgica Pediátrica. Montevideo, Uruguay
Martín Álvaro Ormaechea Fossati, Centro Hospitalario Pereira Rossell y Universidad de la República Oriental del Uruguay

Profesor adjunto, Clínica Quirúrgica Pediátrica. Montevideo, Uruguay
Nelson Carlos Juambeltz Dogliotti, Centro Hospitalario Pereira Rossell y Universidad de la República Oriental del Uruguay

Profesor y director, Clínica Quirúrgica Pediátrica. Montevideo, Uruguay

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