Nadir Bir Karın Ağrısı Sebebi: Wilkie’s Sendromu

Süperior mezenterik arter sendromu, diğer adıyla Wilkie sendromu karın ağrısının nadir sebeplerindendir. Superior mezenterik arterin aortadadan çıkarken oluşturduğu açının daralması neticesinde, aradaki boşluğun azalmasıyla duodenumun sıkışması durumudur. Bu hastalığın tanısını koymak oldukça zor olup, bu hastalar uzun süre dispepsi gibi takip ve tedavi edilmişlerdir. Bu hastalığın kesin tanısı BT anjiyo ile konulur. Bu vaka sunumunda, acilimize karın ağrısı ve kusmayla başvuran 20 yaşındaki kadın hastada çektiğimiz kontrastlı batın tomografisinde tespit ettiğimiz Wilkie sendromunu sunmayı amaçladık.

A Rare Cause Of Abdominal Pain: Wilkie’s Syndrome

Superior mesenteric artery syndrome also known as Wilkie’s syndrome is a rare cause of abdominal pain. The duodenum is compressed as a result of narrowing the angle and also distance between abdominal aorta and superior mesenteric artery. The diagnosis of Wilkie’s syndrome is difficult and many patients have been followed up and treated as dyspepsia. Contrast enhanced abdominal CT is the main diagnostic tool. In this study, we aimed to present a 20 years-old woman with Wilkie’s syndrome who admitted to our emergency service due to abdominal pain and emesis.

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