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Scholars Journal of Medical Case Reports | Volume-13 | Issue-08
Unraveling the Complexities of Wilkie's Syndrome in the Context of Pulmonary Tuberculosis. A Case Report
Fatima Zahra Baddi, Afaf Thouil, Safae Diani, Sara Gartini, Meryem Rhazari, Hatim Kouismi, Jamal Eddine Bourkadi
Published: Aug. 2, 2025 | 58 35
DOI: https://doi.org/10.36347/sjmcr.2025.v13i08.002
Pages: 1767-1769
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Abstract
This case report describes a 35-year-old female undergoing treatment for pulmonary tuberculosis who developed persistent bilious vomiting and abdominal pain. Despite the temporary pause of anti-tuberculosis therapy due to hepatotoxicity, her symptoms persisted. Imaging exams revealed aorto-mesenteric compression syndrome (AMCS), a rare cause of duodenal obstruction resulting from compression of the duodenum between the aorta and the superior mesenteric artery, commonly associated with rapid weight loss. This case underscores the importance of considering AMCS in patients with refractory gastrointestinal symptoms and significant weight loss.