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Case Reports
. 2024 Aug 2;16(8):e66002.
doi: 10.7759/cureus.66002. eCollection 2024 Aug.

Concurrent Encounter of Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Female Patient: A Case Report and Literature Review

Abdullah Almunifi  1 , Abdullah Z Al-Dhayan  2 , Musab Alanazi  2 , Omar A Ababtain  3
Affiliations
Case Reports

Concurrent Encounter of Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Female Patient: A Case Report and Literature Review

Abdullah Almunifi et al. Cureus. .

Abstract

Superior mesenteric artery (SMA) syndrome causes duodenal obstruction between the SMA and aorta, which culminates into bowel obstruction. Meanwhile, nutcracker syndrome (NCS) involves left renal vein compression between the aorta and SMA, categorized by the compression site. We present a 15-year-old female with no prior medical or surgical history who displayed early signs of the rarely coexisting SMA and nutcracker phenomena, which were managed symptomatically along with nutritional support to reach her optimal body mass index.

Keywords: case report; left renal vein; rare diseases; renal nutcracker syndrome; superior mesenteric artery syndrome; wilkie syndrome.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Institutional Review Board, College of Medicine, Majmaah University, Saudi Arabia issued approval Iec/case/MU/234/. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. CT sagittal section demonstrating an aortomesenteric angle of 15°.
CT: computed tomography.
Figure 2
Figure 2. CT axial section showing aortomesenteric distance of 30 mm.
CT: computed tomography.
See this image and copyright information in PMC

References

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