<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932022000100015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Wilkie]]></article-title>
<article-title xml:lang="en"><![CDATA[Managment of a Patient with a Diagnosis of Wilkie Syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Ortíz]]></surname>
<given-names><![CDATA[Yosmel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galiano Gil]]></surname>
<given-names><![CDATA[Jesús Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oharriz Gallo]]></surname>
<given-names><![CDATA[Ángel Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Gil]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Universitario Clínico Quirúrgico &#8220;Dr. Salvador Allende&#8221; Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El síndrome de Wilkie es una causa infrecuente de obstrucción intestinal alta, debido a una compresión del duodeno entre la aorta abdominal y la arteria mesentérica superior, de diagnóstico preoperatorio difícil. El estudio baritado y la arteriografía son las pruebas diagnósticas por excelencia. Se ha invocado un manejo conservador en individuos con poco tiempo de evolución. Sin embargo, aquellos con enfermedad crónica habitualmente requieren corrección por medio de la intervención quirúrgica.  Objetivo: Exponer el tratamiento de un paciente con diagnóstico de síndrome de Wilkie.  Caso clínico: Masculino de 57 años con síndrome emético y pérdida ponderal más de 3 meses de evolución. La gastroduodenoscopia mostró dilatación de la segunda porción duodenal por probable comprensión extrínseca y la serie contrastada reveló stop a nivel de la unión duodenoyeyunal. Se realizó una duodenoyeyunostomía latero-lateral transmesocólica, sin drenaje de vecindad con evolución favorable.  Conclusiones:  Un alto índice de sospecha se requiere para un diagnóstico acertado de esta entidad. La duodenoyeyunostomía es el proceder quirúrgico que ofrece mejores resultados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Wilkie syndrome is a rare cause for upper intestinal obstruction, due to a compression of the duodenum between the abdominal aorta and the superior mesenteric artery, of difficult preoperative diagnosis. Barium study and arteriography are the gold-standard diagnostics. Conservative management has been preferred in individuals with short time of evolution. However, those with chronic disease usually require correction by surgical intervention.  Objective:  To present the management of a patient diagnosed with Wilkie syndrome.  Case report:  A 57-year-old male patient with emetic syndrome and weight loss of more than three months of evolution. Gastroduodenoscopy showed dilatation of the second duodenal portion due to probable extrinsic compression, while the contrast series revealed stop at the duodenojejunal junction. A transmesocolic latero-lateral duodenojejunostomy was performed, without neighboring drainage and with favorable evolution.  Conclusions: A high index of suspicion is required for an accurate diagnosis of this entity. Duodenojejunostomy is the surgical procedure that offers the best outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de Wilkie]]></kwd>
<kwd lng="es"><![CDATA[obstrucción de intestino delgado]]></kwd>
<kwd lng="es"><![CDATA[duodenoyeyunostomía]]></kwd>
<kwd lng="en"><![CDATA[Wilkie syndrome]]></kwd>
<kwd lng="en"><![CDATA[upper intestinal obstruction]]></kwd>
<kwd lng="en"><![CDATA[duodenojejunostomy]]></kwd>
</kwd-group>
</article-meta>
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