Abstract
Superior mesenteric artery (SMA) or Wilkie’s syndrome is a rare clinical entity of partial or complete duodenal obstruction. The lack of awareness for this phenomenon often results in a delayed diagnosis, yet it can predispose to potentially life-threatening complications. Our case of young female presented for recurrent vomiting and weight loss, the CT scan showed narrow aortomesenteric angle resulting in external compression of the duodenum, other workup including laboratory test and endoscopy were negative. SMA syndrome should be always in the differential diagnosis of unexplained vomiting and weight loss, mainly in the young age group
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