Aorto-mesenteric clamp syndrome

Abstract

Introduction : Aorto‑mesenteric clamp syndrome or Wilki's syndrome is a rare cause of upper intestinal occlusion secondary to extrinsic compression of the third duodenal segment between the superior mesenteric artery and the aorto‑spinal plane following the disappearance of perivascular fatty tissue. Clinically, it is characterized by vomiting and post prandial abdominal pain. The treatment is medical and in case of failure, surgery is required. case report : We report a case of mesenteric clamp syndrome in a 58 year old patient, followed up for Crohn's disease, and also for rheumatic heart disease, who consulted for acute vomiting associated with abdominal pain and in whom upper GI endoscopy revealed signi icant gastric and duodenal stasis and the injected abdominal CT scan found a D3 stenosis with reduced aorto‑mesenteric space related to an Aorto‑mesenteric clamp syndrome. Management consisted of medical treatment. Conclusion : Aorto‑mesenteric clamp syndrome is rare and often unknown, its diagnosis is based on clinical and radiological arguments. The treatment is medical, but in case of failure, surgery is necessary