Wilkie’s syndrome as a cause of anxiety-depressive disorder: A case report and review of literature

Figure 1 Angio-computed tomography images. A: Reduced distance between the superior mesenteric artery (SMA) and the anterior wall of the aorta up to a maximum of 8.05 mm; B: Emergence at a sharp angle of 13.7° of the SMA.

Figure 2 Exploratory laparoscopy. A: Dilated duodenum in the first and second parts; B: A collapsed third part beyond the mesenteric pedicle.

Figure 3 Laparoscopic duodenojejunostomy. A: Threaded spotting of the two enteral segments for the anastomosis; B: Side-to-side duodenojejunostomy using a 60 mm endoscopic liner articulated stapler.

Figure 4 Final aspect of the anastomosis after closing the common enterotomy.

Figure 5 Postoperative aspect of the abdomen at 1 mo evaluation, with 10 kg weight gain.

Figure 6 Oral gastrografin study. A: Free passage of the contrast through the anastomosis in the small bowel; B: Contraction of the stomach and duodenum.