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Case Studies | Pediatrics and Child Health | India | Volume 13 Issue 8, August 2024 | Rating: 5.1 / 10
Superior Mesenteric Artery Syndrome (Wilkie?s Syndrome): Acute Severe Presentation in a 12 - Year - Old Girl and Role of Early Diagnosis
Dr. Anupama Lakra | Dr. Ajay Raj [2] | Dr. Anjani Bhushan Kumar | Dr. Binita Nancy Khalkho | Dr. Ravi Varma | Dr. Kalpak Mondal | Dr. Amal Fayiz
Abstract: Superior mesenteric artery, SMA syndrome is a rare condition characterized by the compression of the third part of the duodenum between the abdominal aorta and the superior mesenteric artery. This case report discusses a 12 - year - old girl who presented with intermittent abdominal pain and vomiting, later diagnosed with SMA syndrome via radiological imaging. Initial conservative management, including nasogastric decompression and nutritional support, resolved her symptoms. SMA syndrome is more prevalent in females, typically in older children and teenagers, often associated with significant weight loss. Diagnostic imaging such as CECT and MRA confirms the condition. While conservative treatment can be effective, surgical intervention like duodenojejunostomy is recommended if symptoms persist to prevent serious complications.
Keywords: Superior mesenteric artery syndrome, Wilkies syndrome, duodenal compression, paediatric abdominal pain, duodenojejunostomy
Edition: Volume 13 Issue 8, August 2024,
Pages: 303 - 304