Abstract

Wilkie’s syndrome also known as Superior mesenteric artery syndrome is a rare condition in which the patient presents with a clinical picture of proximal small intestinal obstruction. It’s cause is the reduction of the aorto-mesenteric angle (angle between aorta and superior mesenteric artery) to less than 25 degrees. This increase in the acuity of the said angle leads to compression of the third part of duodenum, which normally passes through the angle; due to a ‘sandwiching’ effect between the 2 major blood vessels. Herein, the authors present the case of a 22 years old female patient who was diagnosed by them to have Wilkie’s syndrome. She was initially put on a trial of conservative management, failing which she underwent definitive laparoscopic surgical therapy.

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