PRIMITIVE MESENTERIC CLAMP SYNDROME : UNUSUAL CAUSE OF UPPER GASTROINTESTINAL OBSTRUCTIONJournal
: International Journal of Advanced Research (Vol.9, No. 5)
Publication Date: 2021-20-05
Authors : Riyad Abbas Rabbani Khalid Louzi Abdelouahed; Finech Benasser;
Page : 591-595
Keywords : Syndrome Of The Mesenteric Clamps Extrinsic Compression Upper Gastrointestinal Fluoroscopy;
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The syndrome of the mesenteric clamp or Wilkies syndrome is defined by a compression of the third duodenum between the superior mesenteric artery, and the aorta . The symptoms are variable and non specific. Management is based first on medical treatment with recourse most often to surgery if failure. We report a review of the literature by reporting an observation of a case.
Observation: This is a 27-year-old patient with a history of intermittent chronic vomiting since the age of 16, unexplored, who for the past 1 year has been worsening vomiting becoming persistent with epigastralgia. gravity, evolving in a context of deterioration of the general state and slimming. A high gastrointestinal endoscopy that showed significant gastric stasis, injected abdominal CT found a disparity in caliber against D3. An upper gastrointestinal fluoroscopy showed gastric stasis with a stomach reaching the pelvis. The management consisted in a surgical treatment after failure of the medical treatment with good evolution. The mesenteric forceps syndrome is a rare and benign condition. Positive diagnosis is hard on the scanner. The treatment is medical in the first place but the use of surgery is common.
Last modified: 2021-08-22 16:26:36