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CASE REPORT
Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 51-53

Wilkie's syndrome with duodenojejunal diverticulosis: A rare combination causing duodenal obstruction


Institute of Surgical Gastroenterology and Liver Transplant, Center for GI Bleed, Division of HPB Diseases, Govt. Stanley Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Saravanan Janakiraman
Institute of Surgical Gastroenterology and Liver Transplant, Center for GI Bleed, Division of HPB Diseases, Govt Stanley Medical College, Old Jail Road, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.187201

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Wilkie's syndrome is an unusual cause of proximal intestinal obstruction. It is a clinical entity characterized by compression of the third or transverse portion of the duodenum between the aorta and superior mesenteric artery (SMA). This results in chronic, intermittent, or acute complete or partial duodenal obstruction. We present the case of a 40-year-old lady who presented with postprandial abdominal pain at the epigastric region, colic type, without radiation accompanied by nausea, postprandial vomiting, and weight loss. She was evaluated and diagnosed with SMA syndrome with duodenojejunal diverticulosis. She was taken for surgery due to chronic malnutrition that did not improve with conservative management. Duodenojejunostomy with transgastric feeding jejunostomy was done. To alleviate postoperative refractive gastroparesis, kinking, and angulation as is our previous few cases, transgastric feeding jejunostomy was done in contrast to modified Witzel's technique. The patient was free of symptoms and recurrence during follow-up. Wilkie's syndrome is an unusual cause of intestinal obstruction. Prompt diagnosis and appropriate surgical intervention are associated with good outcome.


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