Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report
Authors: Hiwa Mohammed Hassan Karkhani, Oleg Vladimorovich Galimov, Khanov Olegovich Vladislav, Bhawna Sharma
Background: Wilkie syndrome (WS) is a pathological manifestation caused by an abnormal disorder of the superior mesenteric artery (SMA). It is a branch of the abdominal part of the aorta. As a result, the distal part of the duodenum is compressed between the abdominal aorta, spine, and SMA, which creates a hindrance for the passage of chyme in the duodenum, creating a mechanical obstruction, and thus, gives rise to the WS. It is commonly due to the loss of fatty tissue. Case Presentation: We hereby discuss the case report of a 28-year-old patient diagnosed with the same at the initial stage of WS. The patient had been suffering from the symptoms of WS since 2018 but wasn’t able to identify the disease when he came to our department. Based on the results of abdominal sonography, Computed tomography (CT)-scan with contrast, and angiography, we confirmed the diagnosis of WS. The patient was treated with the duodenojejunostomy (laparoscopic Strong’s operation), and after the surgery, the patient was treated symptomatically. Conclusion: WS is a rare and fatal manifestation that if delayed can cause severe life-threatening complications and even death, but diagnosis in the initial stages, especially with contrast CT/magnetic resonance imaging angiography, and timely management can save the life and prevent fatal complications. WS can be a fatal manifestation if not diagnosed on time, but early and accurate diagnosis can unleash the diseased state of WS, and treatment on time can avoid severe and deadly complications.
Keywords: Wilkie’s syndrome, laparoscopic Strong’s operation, aorto-mesenteric angle and distance, nutcracker syndrome, case report.
Authors
Correspondence to:
Hiwa Mohammed Hassan Karkhani, Department of Surgical Diseases and new technologies with a course of post-graduation education, Bashkir State Medical University, Ufa, Russia hewa.karkhani@yandex.ru.
Publication history:
Received 25 Mar 2022
Revised 03 Apr 2023
Accepted 21 May 2023
Published online 07 Jun 2023
Published in print 09 Aug 2023
Karkhani HMH, Galimov OV, Vladislav KO, Sharma B. Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. EJMCR. 2023; 7(5): 96-99. doi:
10.24911/ejmcr/173-1646691420
Karkhani HMH, Galimov OV, Vladislav KO, Sharma B. Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. https://www.ejmcr.com/?mno=99165 [Access: May 15, 2024]. doi:
10.24911/ejmcr/173-1646691420
Karkhani HMH, Galimov OV, Vladislav KO, Sharma B. Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. EJMCR. 2023; 7(5): 96-99. doi:
10.24911/ejmcr/173-1646691420
Karkhani HMH, Galimov OV, Vladislav KO, Sharma B. Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. EJMCR. (2023), [cited May 15, 2024]; 7(5): 96-99. doi:
10.24911/ejmcr/173-1646691420
Karkhani, H. M. H., Galimov, . O. V., Vladislav, . K. O. & Sharma, . B. (2023) Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. EJMCR, 7 (5), 96-99. doi:
10.24911/ejmcr/173-1646691420
Karkhani, Hiwa Mohammed Hassan, Oleg Vladimorovich Galimov, Khanov Olegovich Vladislav, and Bhawna Sharma. 2023. Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. European Journal of Medical Case Reports, 7 (5), 96-99. doi:
10.24911/ejmcr/173-1646691420
Karkhani, Hiwa Mohammed Hassan, Oleg Vladimorovich Galimov, Khanov Olegovich Vladislav, and Bhawna Sharma. "Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report." European Journal of Medical Case Reports 7 (2023), 96-99. doi:
10.24911/ejmcr/173-1646691420
Karkhani, Hiwa Mohammed Hassan, Oleg Vladimorovich Galimov, Khanov Olegovich Vladislav, and Bhawna Sharma. "Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report." European Journal of Medical Case Reports 7.5 (2023), 96-99. Print. doi:
10.24911/ejmcr/173-1646691420
Karkhani, H. M. H., Galimov, . O. V., Vladislav, . K. O. & Sharma, . B. (2023) Decrease in aorto-mesenteric angle and distance diagnosis and treatment: case report. European Journal of Medical Case Reports, 7 (5), 96-99. doi:
10.24911/ejmcr/173-1646691420