- Armandaind M. H. Yila1*, Mohamed Boulatar1, Mohamed Ait Abdechikh1, Ihssane Bouhia1, Karim F. Maaroufi1, Tariq Ahbala1, Khalid Rabbani1, Abdelouahed Louzi1
- 1Department of Visceral Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
- ISR Journal of Surgery (ISRJS)
The aorto-mesenteric clamp syndrome “AMCS” or Wilkie’s syndrome, is a duodenal obstruction secondary to an anatomically acquired clamp which results from the compression of the third duodenum by the superior mesenteric artery “SMA” in front, and the aorta behind following the disappearance of the perivascular fatty tissue. Advanced states of malnutrition are often the cause, and AMCS is clinically manifested by vomiting, fullness and post-prandial pain. Treatment is medical, but if this fails, surgery is required. We report a case of ACMS in a 21-year-old female patient who underwent gastrojejunal anastomosis with good postoperative outcome.
