Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Prolonged gastroparesis after corrective surgery for Wilkie's syndrome: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Prolonged gastroparesis after corrective surgery for Wilkie s syndrome a case report Muhammad I Aslam and Jonathan G Fincht Address Northampton General Hospital Cliftonville Northampton NN1 5BD UK Email Muhammad I Aslam - imranaslam171@ Jonathan G Finch - Corresponding author tEqual contributors Published 17 April 2008 Received 26 May 2007 Journal of Medical Case Reports 2008 2 109 doi 1752-1947-2-109 Accepted 17 April 2008 This article is available from http content 2 1 109 2008 Aslam and Finch licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Wilkie s syndrome a rare cause of intestinal obstruction is related to anatomical and mechanical factors associated with the reduction of retroperitoneal fat padding. The diagnostic challenges of identifying vascular constriction between the aorta and superior mesenteric artery have been answered by advances in the field of computed tomography. Despite diagnostic confusion with intestinal dysmotility syndrome conservative therapy with nutritional supplementation is the initial approach and duodenojejunostomy is favoured if non-surgical treatment fails. Case presentation We present a case of a 49-year-old woman with Wilkie s syndrome with persistent symptoms of gastroparesis for 15 months following corrective surgery. Conclusion Open and laparoscopic duodenojejunostomy have been described as the best surgical treatment options for Wilkie s syndrome but further work needs to be done for patients with refractory symptoms of gastroparesis after these corrective surgeries. Introduction Wilkie s syndrome a rare cause of intestinal .
