Pal A, Cameron A E P
Suffolk Vascular Unit, Ipswich Hospital, Ipswich, UK.
Ann R Coll Surg Engl. 2009 Oct;91(7):W6-7. doi: 10.1308/147870809X450575.
Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is a rare condition characterised by compression of the third part of the duodenum against the aorta by the SMA. This can cause symptomatic duodenal obstruction. It is rarely associated with an abdominal aortic aneurysm (AAA). We report the case of a male patient presenting with an AAA and recurrent upper gastrointestinal symptoms. SMA syndrome was diagnosed with imaging and was then successfully treated by aneurysm repair. This is the smallest AAA associated with SMA syndrome in the literature. We propose an anatomical mechanism for SMA syndrome in this case.
肠系膜上动脉（SMA）综合征，也称为威尔基综合征，是一种罕见的病症，其特征是十二指肠第三部被SMA压迫于主动脉上。这可导致有症状的十二指肠梗阻。它很少与腹主动脉瘤（AAA）相关。我们报告一例男性患者，其患有AAA并反复出现上消化道症状。通过影像学诊断为SMA综合征，随后通过动脉瘤修复成功治疗。这是文献中与SMA综合征相关的最小的AAA。我们提出了该病例中SMA综合征的解剖学机制。
