一种罕见的腹痛原因:威尔基综合征:病例报告

R. Peksoz, E. Dişçi, F. Alper, M. Yıldırgan, Y. Albayrak
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引用次数: 0

摘要

威尔基综合征是一种罕见的获得性疾病,发生在肠系膜上动脉和主动脉之间的急性扩张,压迫这两条动脉之间的十二指肠。由于神经性厌食症、体重减轻、烧伤、创伤或长时间卧床等原因,SMA周围脂肪垫的减少被认为与该病的病因有关。虽然这种疾病有急性和慢性两种形式,但慢性形式更为常见。最初,保守的药物治疗被推荐用于治疗威尔基综合征。在保守治疗失败的情况下,需要手术治疗。如果在CT上观察到胃和十二指肠极度扩张的患者表现为腹痛、恶心和呕吐,则必须考虑对Wilkie综合征的鉴别诊断。一名22岁女性患者以腹痛、腹胀、恶心持续3天就诊于我院。在一般检查中,确定她的腹部膨胀,她的上腹部敏感。结合文献对该患者的诊断和治疗进行了探讨。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A RARE CAUSE OF ABDOMINAL PAIN: WILKIE'S SYNDROME: CASE REPORT
Wilkie’s syndrome is a rare acquired disease that occurs when acute dilatation occurs between the superior mesenteric artery and the aorta, compressing the duodenum between these two arteries. A loss of fat pads around the SMA due to reasons such as anorexia nervosa, weight loss, burns, trauma or prolonged bed rest is thought to be involved in the etiology of the disease. While the disease has an acute and chronic form, the chronic form is more common. Initially, conservative medical therapy is recommended for the treatment of Wilkie syndrome. In cases where conservative treatment fails, surgical treatment is indicated. In cases of extreme dilation of the stomach and duodenum being observed in the CT of patients presenting with complaints such as abdominal pain, nausea, and vomiting, a differential diagnosis of Wilkie’s syndrome must be considered. A 22-year-old female patient was presented to our hospital with the complaints of epigastric pain, abdominal distention and nausea continuing for three days. On general examination, it was determined that her abdomen was distended and her epigastric region was sensitive. The diagnosis and treatment of this patient was examined with considering literature.
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