WILKIE SYNDROME OR SUPERIOR MESENTERIC ARTERY SYNDROME (SMAS)

This condition is a rare cause of upper intestinal obstruction, resulting from the compression of the duodenum between the abdominal aorta and the superior mesenteric artery, namely by the aortomesenteric clamp.

If the angle of this clamp becomes narrowed, the duodenum gets constricted. This prevents the further passage of the food bolus.

Food stagnation happens at the clamp after leaving the stomach, hence the inability to receive appropriate nutrition without experiencing pain and/or vomiting.

It is a low prevalence disease, its estimated incidence is 0.013 to 0.3% in the general population.

pinza aorto-mesenterica

Frequent symptoms

  • Nausea

    Vomiting

  • Diarrhea

    Constipation

  • Abdominal bloating

    Early satiety

  • Weight loss

    Ischemic pain

  • Malnutrition

    Dehydration

  • Severe epigastric pain

Imagen nauseas