{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:13:49Z","timestamp":1773285229177,"version":"3.50.1"},"reference-count":17,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T00:00:00Z","timestamp":1662422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Superior mesenteric artery syndrome (Wilkie\u2019s syndrome) is a rare cause of intestinal obstruction caused by a congenital or acquired reduction of the aorto-mesenteric angle leading to duodenal compression. We present the case of a 51-year-old female patient with a previous history of breast cancer. She was admitted to the Emergency Department with acute onset of recurrent vomiting, intense abdominal pain especially in the epigastric region, and abdominal distension. The ultrasound showed an absence of lower abdominal quadrants with an enlarged and distended stomach reaching the pelvis. The computer tomography scans confirmed the diagnosis of superior mesenteric artery syndrome. Conservative management was implemented, and using a nasogastric tube, and upped endoscopy approximately 4000 mL of fluid were aspirated with clinical improvement shortly after. The patient resumed a high-calorie diet and five months later, the patient was completely asymptomatic.<\/jats:p>","DOI":"10.3390\/diagnostics12092159","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T05:17:23Z","timestamp":1662441443000},"page":"2159","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An Underrated Diagnosis of Superior Mesenteric Artery Syndrome: A Case Report"],"prefix":"10.3390","volume":"12","author":[{"given":"Irina","family":"Ciortescu","sequence":"first","affiliation":[{"name":"Medical I Department, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u0219i, Romania"},{"name":"Institute of Gastroenterology and Hepatology, \u201cSaint. Spiridon\u201d Hospital, 700111 Ia\u0219i, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxana","family":"Nemteanu","sequence":"additional","affiliation":[{"name":"Medical I Department, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u0219i, Romania"},{"name":"Institute of Gastroenterology and Hepatology, \u201cSaint. Spiridon\u201d Hospital, 700111 Ia\u0219i, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corina","family":"Hincu","sequence":"additional","affiliation":[{"name":"Department of Radiology, \u201cSaint. Spiridon\u201d Hospital, 700111 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liliana","family":"Gheorghe","sequence":"additional","affiliation":[{"name":"Medical I Department, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u0219i, Romania"},{"name":"Department of Radiology, \u201cSaint. Spiridon\u201d Hospital, 700111 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina","family":"Plesa","sequence":"additional","affiliation":[{"name":"Medical I Department, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u0219i, Romania"},{"name":"Institute of Gastroenterology and Hepatology, \u201cSaint. Spiridon\u201d Hospital, 700111 Ia\u0219i, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/SGA.0000000000000107","article-title":"Superior Mesenteric Artery Syndrome","volume":"3","author":"Gebhart","year":"2015","journal-title":"Gastroenterol. Nurs."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s40477-017-0257-2","article-title":"Wilkie\u2019s syndrome","volume":"20","author":"Farina","year":"2017","journal-title":"J. Ultrasound"},{"key":"ref_3","unstructured":"Rokitansky, C. (1861). Incarceration. Lehrbuch der Pathologischen Anatomie, Wilhelm Braum\u00fcller."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1097\/00000441-192705000-00006","article-title":"Chronic Duodenal Ileus","volume":"173","author":"Wilkie","year":"1927","journal-title":"Am. J. Med Sci."},{"key":"ref_5","first-page":"e6121","article-title":"Superior Mesenteric Artery Syndrome Secondary to Anorexia Nervosa and Methamphetamine Use","volume":"11","author":"Johnson","year":"2019","journal-title":"Cureus"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.3941\/jrcr.v14i3.3830","article-title":"Adolescent with Superior Mesenteric Artery Syndrome","volume":"14","author":"Ren","year":"2020","journal-title":"J. Radiol. 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Spinal Disord. Tech."},{"key":"ref_14","first-page":"e12454","article-title":"Superior Mesenteric Artery Syndrome: A Review of the Literature","volume":"2","author":"England","year":"2021","journal-title":"J. Am. Coll. Emerg. Phys. Open"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.ijscr.2017.03.018","article-title":"Superior Mesenteric Artery Syndrome: A Diagnosis to Be Kept in Mind (Case Report and Literature Review)","volume":"34","author":"Salem","year":"2017","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_16","first-page":"e1859","article-title":"Superior Mesenteric Artery Syndrome: The Dark Side of Weight Loss","volume":"9","author":"Sahni","year":"2017","journal-title":"Cureus"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"249015","DOI":"10.1155\/2015\/249015","article-title":"An Unusual Course of Segmental Renal Artery Displays a Rare Case of Hilar Nutcracker Phenomenon","volume":"2015","author":"Sawant","year":"2015","journal-title":"Case Rep. Med."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/9\/2159\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:24:00Z","timestamp":1760142240000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/9\/2159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,6]]},"references-count":17,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["diagnostics12092159"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics12092159","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,6]]}}}