Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature

Superior mesenteric artery (SMA) syndrome is a rare etiology of upper gastrointestinal obstruction. The measured angle between the SMA and the aorta is typically between 38 and 65° and maintained by mesenteric fat. Excessive fat loss can lead to intestinal obstruction due to an exaggerated acute ang...

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Main Authors: Nicholas J. Corsi, Ahmad A. Abu-Heija, Anand Kumar Ravi, Matthew P. Corsi, Murray N. Ehrinpreis
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2022/7783074
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author Nicholas J. Corsi
Ahmad A. Abu-Heija
Anand Kumar Ravi
Matthew P. Corsi
Murray N. Ehrinpreis
author_facet Nicholas J. Corsi
Ahmad A. Abu-Heija
Anand Kumar Ravi
Matthew P. Corsi
Murray N. Ehrinpreis
author_sort Nicholas J. Corsi
collection DOAJ
description Superior mesenteric artery (SMA) syndrome is a rare etiology of upper gastrointestinal obstruction. The measured angle between the SMA and the aorta is typically between 38 and 65° and maintained by mesenteric fat. Excessive fat loss can lead to intestinal obstruction due to an exaggerated acute angularity of the SMA, compressing the third part of the duodenum. We present a 22-year-old female with a history of aplastic anemia, status post bone-marrow transplant, who presented with intractable nausea and had confirmed SMA syndrome on CT angiography. Subsequently, the patient underwent nasogastric decompression and successful laparoscopic duodenojejunostomy.
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-101ad56ec14f459b92b47655a2d04d332025-08-20T03:54:29ZengWileyCase Reports in Gastrointestinal Medicine2090-65362022-01-01202210.1155/2022/7783074Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of LiteratureNicholas J. Corsi0Ahmad A. Abu-Heija1Anand Kumar Ravi2Matthew P. Corsi3Murray N. Ehrinpreis4Wayne State University School of MedicineWayne State University School of MedicineWayne State University School of MedicineWayne State University School of MedicineWayne State University School of MedicineSuperior mesenteric artery (SMA) syndrome is a rare etiology of upper gastrointestinal obstruction. The measured angle between the SMA and the aorta is typically between 38 and 65° and maintained by mesenteric fat. Excessive fat loss can lead to intestinal obstruction due to an exaggerated acute angularity of the SMA, compressing the third part of the duodenum. We present a 22-year-old female with a history of aplastic anemia, status post bone-marrow transplant, who presented with intractable nausea and had confirmed SMA syndrome on CT angiography. Subsequently, the patient underwent nasogastric decompression and successful laparoscopic duodenojejunostomy.http://dx.doi.org/10.1155/2022/7783074
spellingShingle Nicholas J. Corsi
Ahmad A. Abu-Heija
Anand Kumar Ravi
Matthew P. Corsi
Murray N. Ehrinpreis
Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature
Case Reports in Gastrointestinal Medicine
title Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature
title_full Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature
title_fullStr Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature
title_full_unstemmed Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature
title_short Wilkie’s Syndrome following Chemotherapy: A Case Report and a Review of Literature
title_sort wilkie s syndrome following chemotherapy a case report and a review of literature
url http://dx.doi.org/10.1155/2022/7783074
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