EURORAD ESR

Case 12372

Wilkie syndrome or superior mesenteric artery syndrome

Author(s)
Lesyk Sonia, Nissen Nicolas, Palau Guillermo

Sanatorio de la Trinidad San Isidro
Diagnostico por Imagenes;
Fondo de la Legua 851
Buenos Aires San Isidro, Argentina;
Email:sonialesyk@gmail.com
 
Patient
female, 15 year(s)
 
 
  • Figure 1
    Upper GI series

    Compression of the third part of the duodenum, 10 mm in size, which later regained its usual diameter. There was also a light distension of the second part of the duodenum.

     
    Area of Interest: Abdomen; Imaging Technique: Digital radiography; Procedure: Barium meal; Special Focus: Eating disorders;
     
     
  • Figure 2
    Angio CT findings

    Sagittal view of the origin of the superior mesenteric artery from the aorta with a 15.6° angle. A 3D reconstruction is also shown.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Arterial access; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    Angio CT findings:

    Axial view at the crossing point of the mesenteric artery and the third part of the duodenum, with a 6 cm distance between them.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Image compression; Special Focus: Eating disorders;
     
     
  • Figure 4
    Angio CT findings

    Example of a CT examination with a normal angle at the aorto-mesenteric bifurcation (72°). Duodenum, renal vein and fat tissue are also seen.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Eating disorders;
     
     
Compression of the third part of the duodenum, 10 mm in size, which later regained its usual diameter. There was also a light distension of the second part of the duodenum.
 
Sagittal view of the origin of the superior mesenteric artery from the aorta with a 15.6° angle. A 3D reconstruction is also shown.
 
Axial view at the crossing point of the mesenteric artery and the third part of the duodenum, with a 6 cm distance between them.
 
Example of a CT examination with a normal angle at the aorto-mesenteric bifurcation (72°). Duodenum, renal vein and fat tissue are also seen.
 
 
 
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