A rare instance of Wilkie’s syndrome in a young male during the holy month of Ramadan

Abstract

Highlights This is a case report of a young male diagnosed with Superior Mesenteric Artery syndrome during the period of fasting during Ramadan. The purpose of this report is to support physicians in a way of considering this as a differential when their patient presents similarly because it is not exclusive only to anorexic persons and can occur in a population that is fasting as well. The method of management was conservative and this clarifies that surgery does not necessarily have to be the first line treatment.

A Rare Presentation of Superior Mesenteric Artery Syndrome as Acute Abdomen

“…An elevated level of clinical suspicion and a detailed evaluation of CT images needs to be performed. In equivocal cases, the point of obstruction can be elucidated by doing upper GI contrast studies to demonstrate obstruction or slow passage of contrast in the third part of the duodenum [ 9 ].…”

Superior Mesenteric Artery Syndrome Accompanied by Acute-onset Type 1 Diabetes Complicated with Graves' Disease

“…Abdominal radiography reveals a double bubble sign characteristic of gastric bubble enlargement and duodenal obstruction, often nonspecific ( 7 ). Upper gastrointestinal angiography reveals a linear rupture of the horizontal duodenum, marked dilation of the gastric to the descending duodenum, and stasis of the contrast medium ( 6 , 21 ). Abdominal US, enhanced CT, and magnetic resonance imaging reveal a sharpening of the SMA bifurcation angle and a narrowing of the abdominal aorta-SMA distance ( 6 ).…”