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    Manejo laparoscópico para el síndrome de Wilkie

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    Martínez H., Martínez S., Sánchez-Ussa S., Pedraza M., Cabrera L.F.,_2019.pdf (468.9Kb)
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    TY - GEN T1 - Manejo laparoscópico para el síndrome de Wilkie UR - http://hdl.handle.net/20.500.12495/2042 PB - Academic Mexicana de cirugia AB - ER - @misc{20.500.12495_2042, author = {}, title = {Manejo laparoscópico para el síndrome de Wilkie}, year = {}, abstract = {}, url = {http://hdl.handle.net/20.500.12495/2042} }RT Generic T1 Manejo laparoscópico para el síndrome de Wilkie LK http://hdl.handle.net/20.500.12495/2042 PB Academic Mexicana de cirugia AB OL Spanish (121)
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    Author
    Martínez, Henry
    Martínez, Sebastián
    Sánchez-Ussa, Sebastián
    Pedraza, Mauricio
    Cabrera, Luis F.
    Date
    2019
    Published in
    Cirugia y Cirujanos, 0009-7411, Vol. 87, 2019, p. 22-27
    Published for
    Academic Mexicana de cirugia
    URI
    http://hdl.handle.net/20.500.12495/2042
    Source's URL
    https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=89108
    DOI
    http://dx.doi.org/10.24875/CIRU.18000571

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    Abstract
    Introduction: Wilkie’s syndrome is a rare entity that presents as a chronic intestinal obstruction secondary to mechanical compression of the third portion of the duodenum due to a decreased aorto-mesenteric angle. This entity has a reported incidence of 0.012 to 2.4% and can lead to high morbidity and mortality; In addition, there are major controversies regarding its diagnosis and treatment, which is why the authors present a case report of a patient with a diagnosis of Wilkie's syndrome and its surgical management via laparoscopy. Methods: A case of a patient with clinical and imaging manifestations of superior mesenteric artery syndrome is presented, along with acritical review of the literature, taking into account articles published in the PubMed and ScienceDirect databases during the past 8 years. Clinical case: A 27-year-old patient with 20 years of abdominal pain that exacerbated one week before admission, with a clinical and imaging manifestations of Wilkie’s syndrome. Patient presents refractoriness to medical management, which led to a surgical approach with laparoscopic duodenum-jejunostomy that was carried out without perioperative complications and satisfactory results. Discussion and conclusions: The superior mesenteric artery syndrome is a rare entity that in some scenarios requires surgical management. The laparoscopic duodeno-jejunostomy is the procedure of choice to manage this entity as evidenced in our case, which is also consistent with what is reported in the world medical literature.
    Keywords
    Síndrome de Wilkie
    Pinza mesentérica
    Síndrome de arteria mesentérica superior
    Keywords
    Wilkie’s syndrome
    Mesenteric clamp
    Superior mesenteric artery syndrome
    Topics
    Obstrucción intestinal
    Indicadores de morbimortalidad
    Informes de casos
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