Nadir Bir Karın Ağrısı Sebebi: Wilkie’s Sendromu

Yıl 2018, , 29 - 33, 30.07.2018

Kasim Turgut , Abdullah Algın , İbrahim İnan

https://doi.org/10.30569/adiyamansaglik.422176

Öz

Süperior
mezenterik arter sendromu, diğer adıyla Wilkie sendromu karın ağrısının nadir
sebeplerindendir. Superior mezenterik arterin aortadadan çıkarken oluşturduğu
açının daralması neticesinde, aradaki boşluğun azalmasıyla duodenumun sıkışması
durumudur. Bu hastalığın tanısını koymak oldukça zor olup, bu hastalar uzun
süre dispepsi gibi takip ve tedavi edilmişlerdir. Bu hastalığın kesin tanısı BT
anjiyo ile konulur. Bu vaka sunumunda, acilimize karın ağrısı ve kusmayla
başvuran 20 yaşındaki kadın hastada çektiğimiz kontrastlı batın tomografisinde
tespit ettiğimiz Wilkie sendromunu sunmayı amaçladık.

Anahtar Kelimeler

acil, karın ağrısı, wilkie's sendromu

A Rare Cause Of Abdominal Pain: Wilkie’s Syndrome

Öz

Superior mesenteric artery syndrome also known as
Wilkie’s syndrome is a rare cause of abdominal pain. The duodenum is compressed
as a result of narrowing the angle and also distance between abdominal aorta
and superior mesenteric artery. The diagnosis of Wilkie’s syndrome is difficult
and many patients have been followed up and treated as dyspepsia. Contrast
enhanced abdominal CT is the main diagnostic tool. In this study, we aimed to
present a 20 years-old woman with Wilkie’s syndrome who admitted to our
emergency service due to abdominal pain and emesis.

Anahtar Kelimeler

Emergency, abdominal pain, wilkie's syndrome

Kaynakça

• 1. Osegueda de Rodríguez EJ, Hernández-Villegas AC, Serralde-Zúñiga AE, Reyes-Ramírez ALDC. The two sides of superior mesenteric artery syndrome treatment: conservative or surgical management?. Nutr Hosp. 2017;34(4):997-100022. Makary MS, Rajan A, Aquino AM, Chamarthi SK. Clinical and Radiologic Considerations for Idiopathic Superior Mesenteric Artery Syndrome. Cureus. 2017;5;9(11)3. 3. Voleti SPR, Sridhar J . Superior Mesenteric Artery Syndrome after Kyphosis Correction - A Case Report. J Orthop Case Rep. 2017;7(5):67-704. 4. Valiathan G, Wani M, Lanker J, Reddy PK. A Case Series on Superior Mesenteric Artery Syndrome Surgical Management, Single Institution Experience. J Clin Diagn Res. 2017;11(8):PR01-PR035. 5. Alvarenga A, Espinheira C, Guerra P, Garcia M, Abreu M, Campos M. Superior Mesenteric Artery Syndrome: Weight Loss Can Be a Problem, Weight Gain Can Be a Solution. GE Port J Gastroenterol. 2017;24(1):43-466. 6. Barquín Yagüez J, Abadía Barnó P, García Pérez JC. Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. Rev Esp Enferm Dig. 2017;109(1):607. 7. Kumar R, Jaiswal G, Bhargava A, Kundu J. Superior Mesenteric Artery Syndrome: Diagnosis and Management. Kathmandu Univ Med J (KUMJ). 2016;14(55):288-291.