[Superior mesenteric artery syndrome in gastric cancer: a case report].
Syndrome de la pince aorto-mésentérique sur cancer gastrique: à propos d’un cas.
Superior mesenteric artery syndrome
Wilkie´s syndrome
case report
gastric cancer
gastrojejunostomy
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2022
2022
Historique:
received:
03
12
2020
accepted:
16
12
2020
entrez:
27
2
2023
pubmed:
28
2
2023
medline:
3
3
2023
Statut:
epublish
Résumé
Superior mesenteric artery syndrome or Wilkie syndrome is due to the compression of the third duodenum between the superior mesenteric artery and the aorta. It causes acute or chronic upper bowel occlusion. Abdominal CT scan facilitates the diagnosis. Severe malnutrition is its main etiological factor. Medical treatment can be based on aspiration of gastric contents and parenteral nutrition. If this fails, surgery is necessary. We here report the case of a 46-year-old patient, with a history of smoking, presenting with profuse postprandial bile and food vomiting. He had had weight loss of 7% over a period of 6 months. Upper GI endoscopy revealed non-stenotic antro-pyloric tumour mass. Histological examination showed poorly differentiated tubular gastric adenocarcinoma. Staging was without any peculiarity and allowed for the detection of superior mesenteric artery syndrome at an angle of 8°C. The patient received parenteral nutrition for 10 days, followed by inferior pole gastrectomy and gastrojejunal anastomosis (omega loop). The postoperative course was uneventful. Adjuvant chemotherapy was indicated.
Identifiants
pubmed: 36845233
doi: 10.11604/pamj.2022.42.217.27281
pii: PAMJ-42-217
pmc: PMC9949278
doi:
Types de publication
Case Reports
English Abstract
Langues
fre
Sous-ensembles de citation
IM
Pagination
217Informations de copyright
Copyright: Abdou Niasse et al.
Déclaration de conflit d'intérêts
Les auteurs ne déclarent aucun conflit d´intérêts.
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