Wilkie Syndrome: Rare Cause of Obstruction (A Case Report and Literature Review)

Acute mesenteric clamp syndrome or Wilkie's syndrome is one of the rare causes of bowel obstruction. It is the result of the compression of the third duodenum by a vascular clamp formed by the superior mesenteric artery and the aorta after disappearance of the perivascular fatty tissue. The functional signs are non-specific and are common to other diseases of theupper digestive tract and are dominated by recurrent post prandial abdominal pain, nausea and vomiting and weightloss.Physical examination is poor. The management of The aorto-mesenteric clip syndrome includes medical treatment and surgical treatment. The aim of this work is to high light the diagnostic difficulties of high intestinal occlusions in general and of the aorto-mesenteric clip syndromein particular, its clinic, possible complications and management.