PRIMITIVE MESENTERIC CLAMP SYNDROME : UNUSUAL CAUSE OF UPPER GASTROINTESTINAL OBSTRUCTION

The syndrome of the mesenteric clamp or Wilkies syndrome is defined by a compression of the third duodenum between the superior mesenteric artery, and the aorta . The symptoms are variable and non specific. Management is based first on medical treatment with recourse most often to surgery if failure. We report a review of the literature by reporting an observation of a case.

Observation: This is a 27-year-old patient with a history of intermittent chronic vomiting since the age of 16, unexplored, who for the past 1 year has been worsening vomiting becoming persistent with epigastralgia. gravity, evolving in a context of deterioration of the general state and slimming. A high gastrointestinal endoscopy that showed significant gastric stasis, injected abdominal CT found a disparity in caliber against D3. An upper gastrointestinal fluoroscopy showed gastric stasis with a stomach reaching the pelvis. The management consisted in a surgical treatment after failure of the medical treatment with good evolution. The mesenteric forceps syndrome is a rare and benign condition. Positive diagnosis is hard on the scanner. The treatment is medical in the first place but the use of surgery is common.