[Wilkie's syndrome caused by exogenous hyperthyroidism in a patient with primary autoimmune hypothyroidism: a case report and literature review].

Abstract

Wilkie's syndrome or superior mesenteric artery syndrome is an unusual cause of proximal intestinal obstruction, primarily attributed to recent weight loss. We report the case of a 19-year-old woman comes to our clinic and reports weight loss, abdominal pain, nausea, and vomiting. Laboratory tests revealed anemia, hypoalbuminemia, hypomagnesemia, and a suppressed thyroid stimulating hormone secondary to levothyroxine. A barium swallow test showed gastric dilatation, delayed gastric emptying and an axial computed tomography revealed an aortomesenteric angle of 11.7°. Conservative management with total parenteral and enteral nutrition was initiated, being the first-line treatment. In refractory cases surgery is a safe and effective option.

• Authors: Enrique Cervantes Pérez, Martha C Martínez-Soto Holguín, Juan Pedro Diaz Juárez, Ana Luz Del C Reyes Ramírez
• Journal: Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru (Rev Gastroenterol Peru) 2020 Jul-Sep Vol. 40 Issue 3 Pg. 274-277 ISSN: 1609-722X [Electronic] Peru
• Vernacular Title: Síndrome de Wilkie secundario a hipertiroidismo exógeno en una paciente con hipotiroidismo primario autoinmune: reporte de un caso y revisión de la literatura.
• PMID: 33181816 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Autoimmune Diseases (complications)
• Female
• Humans
• Hyperthyroidism (complications, immunology)
• Superior Mesenteric Artery Syndrome (etiology)
• Young Adult