Document Detail


Duodenojejunal junction web masquerading as Wilkie's syndrome: Report of a case.
MedLine Citation:
PMID:  21365426     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Wilkie's syndrome (superior mesenteric artery syndrome) is a rare cause of obstruction to the third part of duodenum due to compression between the superior mesenteric artery and the abdominal aorta. Pathologies like malignant growth in the mesenteric root, the presence of a lymph nodal mass compressing the terminal duodenum, dissecting aortic aneurysm, and intestinal malrotation may mimic the condition, but are not true etiologies of the syndrome. A duodenojejunal web causing narrowing of the duodenojejunal junction and mimicking Wilkie's syndrome has not been described before in the literature. We herein report a case of gastroduodenal obstruction due to a web in the duodenojejunal junction in a young female patient, which closely mimicked Wilkie's syndrome but was finally diagnosed postoperatively. We highlight the first case of its kind in an adult and discuss the challenges in both the diagnosis and management.
Authors:
Somprakas Basu; Vivek Srivastava; Pramod Kumar Singh; Arvind Srivastava; Vijay Kumar Shukla
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Publication Detail:
Type:  Journal Article     Date:  2011-03-02
Journal Detail:
Title:  Surgery today     Volume:  41     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  409-11     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.
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