Wilkie’s syndrome as a cause of anxiety-depressive disorder:A case report and review of literature  

作　　者：Raluca Cristina Apostu Lucian Chira Doina Colcear Andrei Lebovici Georgiana Nagy Radu Razvan Scurtu Radu Drasovean 

机构地区：[1]Department of Surgery,“Iuliu Hatieganu”University of Medicine and Pharmacy,Cluj-Napoca 400001,Romania [2]Department of Psychiatry,Clinical Infectious Disease Hospital,Cluj-Napoca 400000,Romania [3]Department of Radiology,“Iuliu Hatieganu”University of Medicine and Pharmacy,Cluj-Napoca 400006,Romania [4]Department of Internal Medicine,"Iuliu Hatieganu"University of Medicine and Pharmacy Cluj-Napoca,400006,Romania

出　　处：《World Journal of Clinical Cases》2022年第5期1654-1666,共13页世界临床病例杂志

摘　　要：BACKGROUND Superior mesenteric artery syndrome is a disease with a complex diagnosis,and it is associated with complications that make it even harder to identify.Currently,a frequent association with psychiatric disorders has been noted.Despite numerous case reports and case series,the variability of the disease has not allowed the development of protocols regarding diagnosis and management.CASE SUMMARY A 33-year-old woman presented with abdominal pain,nausea,and bile vomiting over the last 15 mo,associated with a 15-kg weight loss over the last three months.After the onset of the symptoms,the patient was diagnosed with anxietydepressive disorder and treated appropriately.Standard examinations excluded an organic cause,and the cause of the symptoms was considered psychogenic.The persistence of symptoms,even under treatment,prompted a computer tomography angiography examination of the abdomen and pelvis.The examination identified emergence at a sharp angle of 13.7°of the superior mesenteric artery,with a reduced distance between the artery and the anterior wall of the aorta up to a maximum of 8 mm.A diagnosis of aortomesenteric clamp was established.Surgical treatment by laparoscopic duodenojejunostomy was performed.Postoperative evolution was marked by a patent anastomosis at 1 mo,with a 10-kg weight gain and improvement of the associated anxiety.CONCLUSION This case report underlines two major aspects.One aspect refers to the predisposition of patients with superior mesenteric artery syndrome to develop psychiatric disorders,with an excellent outcome when proper treatment is administered.The second aspect underlines the key role of a multidisciplinary approach and follow-up.

关 键 词：Wilkie’s syndrome Weight loss Anxiety-depressive disorder DUODENOJEJUNOSTOMY LAPAROSCOPY Case report 

分 类 号：R572.3[医药卫生—消化系统] R749.4[医药卫生—内科学]