SUPERIOR MESENTERIC ARTERY SYNDROME/ WILKIE SYNDROME –A CASE REPORT

Abstract: Wilkie's syndrome is an uncommon condition resulting from the superior mesenteric artery (SMA) at its origin exerting extrinsic compression on the duodenum's third segment. The non-specific and fluctuating symptoms include postprandial symptoms include weight loss, anorexia, early satiety, nausea, vomiting, and stomach pain. Objectives: To aware diagnose and manage a rare case of Wilkie's Syndrome Methodology: We brought in a female patient, 29 years old who previously experienced bilious vomiting, nausea, and cramping and pain in her abdomen. She had experienced a similar ailment for the previous year.Initial results fromUGD scanning reveal a duodenal air bubble.Duodenoscopy,which display the third and fourth segments of the duodenum dilated.UGD scanning reveal a duodenal air bubble. Duedenoscopy, which displays the third and fourth segments of duodenum dilated. No evidence of a lesion in the first or second portion of duodenum is seen on an upper GI scopy. Stomach was found to be normal, ruling out GERD. Following a laparoscopic (roux en y) Duodenojejunostomy, the patient's intraoperative results were in line with the diagnosis. There were no complications during the surgery or the recovery period, and the patient was released on the sixth day following surgery. Conclusion: Wilkie's Syndrome is an uncommon illness. There have only been 500 cases worldwide to date. In long-term instances, surgery is the preferred course of treatment because non-surgical methods run the risk of deadly consequences such as severe malnourishment, imbalanced electrolytes, gastric rupture, spontaneous upper gastrointestinal bleeding, or abrupt cardiac collapse. Keywords: Wilkie’s syndrome, post-prandial abdominal pain, Roun en Y duodenojejunostomy, intestinal obstruction, superior mesenteric artery syndrome