Evidence map›Paper›PMID 34401041›Full record

ArticleRadiology case reports2021

Superior mesenteric artery syndrome (Wilkie Syndrome) with unusual clinical onset: Description of a rare case.

Renato Farina, Pietro Valerio Foti, Maria Coronella, Isabella Pennisi, Federica Libra, Alessia Di Mari, Cecilia Gozzo, Tiziana Vasile, Elena Lamirata, Massimiliano Veroux and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Radiology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Renato FarinaDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Pietro Valerio FotiDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Maria CoronellaDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Isabella PennisiDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Federica LibraDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Alessia Di MariDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Cecilia GozzoDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Tiziana VasileDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
Elena LamirataDepartment of General Surgery and Medical Surgical Specialties, University of Catania, General surgery. Catania, Italy.
Massimiliano VerouxDepartment of General Surgery and Medical Surgical Specialties, University of Catania, General surgery. Catania, Italy.
Guido BasileDepartment of General Surgery and Medical Surgical Specialties, University of Catania, General surgery. Catania, Italy.
Antonio BasileDepartment of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia" Catania, Italy.
University of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wilkie's Syndrome is a very rare disease caused by reduction of aorto-mesenteric space with consequent duodenum compression. It can combine with left renal vein stenosis which, when symptomatic, is known as "Nutcracker Syndrome". We describe a clinical onset case with epigastric pain without vomiting in a normal weight patient. 28-year-old woman who came to our observation for intense epigastric pain after a weight loss of 14 kg in 4 months. Multidetector Computed Tomography and Ultrasound revealed gastric and duodenal overdistension with hydro-air levels, severe duodenum stenosis, and left renal vein compression. Wilkie's Syndrome is common in anorexic individuals suffering from recurrent postprandial vomiting, onset with severe epigastric pain, without vomiting, is quite unusual. High-calorie diet must be first therapeutic approach, in case of failure treatment of first choice should be endovascular stenting and, only in selected cases, surgical treatment should be used because it is very invasive and burdened with numerous complications. Failure to diagnose this disease can expose patients to serious health risks.

Indexed as

Cardiovascular AbnormalitiesComputed TomographyDoppler UltrasoundSuperior Mesenteric Artery SyndromeWilkie's Syndrome

Identifiers

PMID34401041
PMCPMC8358285
OpenAlexW3194898465

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.