Corrected scoliosis, duodenal compression: a case of postoperative Wilkie syndrome

Wilkie syndrome, also known as superior mesenteric artery syndrome, is a rare condition that may arise as a postoperative complication in patients who undergo scoliosis correction. We report the case of a previously healthy adolescent who developed symptoms of intestinal obstruction (abdominal pain, bilious vomiting) following orthopedic surgery for idiopathic scoliosis. The clinical presentation, combined with the radiological findings, led to the diagnosis of Wilkie syndrome. The therapeutic approach included conservative management and nutritional support, with a favorable clinical response. This case highlights the importance of considering this condition as an “unexpected guest” in the postoperative period of scoliosis correction, especially in the presence of persistent digestive symptoms. Early identification can help prevent major complications and optimize multidisciplinary management.