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Vascular Medicine
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What's this?

case-report

Patient with both Wilkie syndrome and nutcracker syndrome

Michel K Barsoum

Division of Cardiovascular Diseases, Section of Vascular Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA barsoum.michel{at}mayo.edu

Roger FJ Shepherd

Division of Cardiovascular Diseases, Section of Vascular Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA

Timothy J Welch

Department of Radiology, Mayo Clinic College of Medicine, Rochester, MN, USA

Abstract

Wilkie syndrome or superior mesenteric artery syndrome is a rare cause of duodenal obstruction in pediatric and adult age groups. Its manifestations are due to compression of the third portion of the duodenum between the aorta and the superior mesenteric artery. We present one case of a 29-year-old female with a recent history of epigastric pain and severe weight loss due to duodenal obstruction from superior mesenteric syndrome. She was treated conservatively with jejunostomy tube feeding to regain loss of weight. Our case is unique in that the patient has also nutcracker syndrome.

Key Words: duodenal obstruction • loss of weight • megaduodenum • nutcracker syndrome • superior mesenteric artery syndrome • Wilkie syndrome

Vascular Medicine, Vol. 13, No. 3, 247-250 (2008)
DOI: 10.1177/1358863X08092272
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