A Rare Case of Aortomesenteric Clamp Syndrome in a 14-Year-Old Adolescent

Karima Lalaoui; Mohamed Djelad; Reda Benzaoui; Rachid Ouslim

doi:10.18535/ijsrm/v12i06.mp05

Abstract

Aortomesenteric clamp syndrome (SPAM) or Wilkie syndrome results from compression of the third duodenum between the superior mesenteric artery and the aorta; it is a rare entity, especially in children. The symptomatology resulting from this duodenal obstruction is that of a high occlusion. The diagnosis is based on CT angiography which may or may not be coupled with ingestion of water (or iodinated contrast product). The treatment is primarily medical, it is based on the installation of a nasogastric tube; correction of hydroelectrolyte disorders and parenteral or enterojejunal nutrition. Surgery is only indicated if medical treatment fails. In this work, we report our experience in caring for a 14-year-old adolescent with SPAM.

Keywords

aortomesenteric clamp syndromeWilkie syndromeduodenal obstruction

References

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[refR-1] Fall, M., et al., Le syndrome de la pince aorto-mésentérique chez l'enfant: à propos d'un cas primitive. The Pan African Medical Journal, 2014. 19.Google Scholar ↗

[refR-2] Moussaoui, S., et al. Pancréatite aiguë secondaire à un syndrome de la pince aorto-mésentérique. in Annales d'Endocrinologie. 2020. Elsevier.Google Scholar ↗

[refR-3] Okugawa, Y., et al., Superior mesenteric artery syndrome in an infant: case report and literature review. Journal of pediatric surgery, 2007. 42(10): p. e5-e8.Google Scholar ↗

[refR-4] Oguz, A., et al., Superior mesenteric artery (Wilkie’s) syndrome: a rare cause of upper gastrointestinal system obstruction. Acta Chirurgica Belgica, 2016. 116(2): p. 81-88.Google Scholar ↗

[refR-5] Bognár, G., et al., A Wilkie-syndromáról. Magyar Sebészet, 2008. 61(5): p. 273-277.Google Scholar ↗

[refR-6] Mnif, F., et al. Une insuffisance antéhypophysaire révélant un syndrome de la pince aorto-mésentérique. in Annales d'Endocrinologie. 2017. Elsevier.Google Scholar ↗

[refR-7] Andaloussi, S., et al., Le syndrome de la pince aorto-mésentérique: une cause rare d’obstruction duodénale. PAMJ-Clinical Medicine, 2019. 1(66).Google Scholar ↗

[refR-8] Slaiki, S., et al., Syndrome de la pince aorto-mésentérique (Superior mesenteric artery syndrome). 2020.Google Scholar ↗

[refR-9] Zadegan, F., et al., Syndrome de la pince aorto-mésentérique après correction d’une déformationGoogle Scholar ↗

[refR-10] rachidienne: À propos d’un cas et revue de la literature. Revue de chirurgie orthopédique et réparatrice de l'appareil moteur, 2007. 93(2): p. 181-185.Google Scholar ↗

[refR-11] Tidjane, A., et al., Le syndrome de la pince aorto-mésentérique: rare, mais pensez-y. Pan African Medical Journal, 2014. 17(1).Google Scholar ↗

[refR-12] Bakker, M., et al., Superior mesenteric artery syndrome in a 15-year-old boy during Ramadan. European journal of pediatrics, 2014. 173(12): p. 1619-1621.Google Scholar ↗

[refR-13] Jo, J.B., K.Y. Song, and C.H. Park, Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: report of a case. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 2008. 18(2): p. 213-215.Google Scholar ↗

[refR-14] Shinji, S., et al., Superior mesenteric artery syndrome treated with single‐incision laparoscopy‐assisted duodenojejunostomy. Asian Journal of Endoscopic Surgery, 2015. 8(1): p. 67-Google Scholar ↗