DOI: 10.36347/sasjs.2021.v07i04.001

Pages: 163-165

Introduction: Superior mesenteric artery (SMA) syndrome or Wilkie syndrome is a rare cause of superior bowel obstruction caused by the compression of the third portion of the duodenum during the passage between the superior mesenteric artery and aorta. Clinically, it is characterized by vomiting, nausea and intermittent abdominal pain based on the degree of duodenal compression. Diagnosis is based on abdominal CT scan. First treatment is medical, but frequently surgery is required treatment. Observation: We report a case of superior mesenteric artery syndrome in a male patient aged 21 years with a history of chronic vomiting and weight loss. Abdominal CT scan found a D3stenosis with reduced aorto-mesenteric space related to a mesenteric artery syndrome. The management consisted of surgical treatment after failure of medical treatment with a favorable outcome. Conclusion: The mesenteric artery syndrome is a rare and benign disorder. The abdominal CT scan is of vital interest for the diagnosis in 90% of cases. Medical treatment is tried first but surgery is common.