An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes
Superior mesenteric artery syndrome also known as Wilkie's syndrome (WS) and Nutcracker syndrome (NCS) are 2 rare vascular syndromes characterized by the reduction of the aortomesenteric space. In the WS the reduction of the aortomesenteric angle leads to compression of the third portion of the...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323003138 |
| _version_ | 1827925793902166016 |
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| author | Barbara Brogna, MD Andrea La Rocca, RT Vera Giovanetti, MD Marta Ventola, MS Elio Bignardi Lanfranco Aquilino Musto, MD |
| author_facet | Barbara Brogna, MD Andrea La Rocca, RT Vera Giovanetti, MD Marta Ventola, MS Elio Bignardi Lanfranco Aquilino Musto, MD |
| author_sort | Barbara Brogna, MD |
| collection | DOAJ |
| description | Superior mesenteric artery syndrome also known as Wilkie's syndrome (WS) and Nutcracker syndrome (NCS) are 2 rare vascular syndromes characterized by the reduction of the aortomesenteric space. In the WS the reduction of the aortomesenteric angle leads to compression of the third portion of the duodenum. In the NCS the reduced aortomesenteric space usually causes a left renal vein (LVR) entrapment and the clinical presentation is a left flank pain, micro/macrohematuria and proteinuria. Arterial hypertension can be an unusual manifestation of the NCS. Herein, we describe the case of a 37-year-old woman with a history of breast cancer and abdominal subocclusion, with a recent onset of arterial hypertension whose enhanced computed tomography (CT) showed a reduced angle between the abdominal aorta and superior mesenteric artery with the CT findings of both the WS and NCS. |
| first_indexed | 2024-03-13T05:29:15Z |
| format | Article |
| id | doaj.art-402264688ee44d09bc01d209bcfaa486 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-13T05:29:15Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-402264688ee44d09bc01d209bcfaa4862023-06-15T04:55:29ZengElsevierRadiology Case Reports1930-04332023-08-0118826772680An interesting presentation of a rare association of the Wilkie and Nutcracker syndromesBarbara Brogna, MD0Andrea La Rocca, RT1Vera Giovanetti, MD2Marta Ventola, MS3Elio Bignardi4Lanfranco Aquilino Musto, MD5Department of Interventional and Emergency Radiology “San Giuseppe Moscati Hospital”, Contrada Amoretta, 83100, Avellino, Italy; Corresponding author.Department of Interventional and Emergency Radiology “San Giuseppe Moscati Hospital”, Contrada Amoretta, 83100, Avellino, ItalyDivision of Radiology, Università degli Studi della Campania Luigi Vanvitelli, 80138, Naples, ItalyDepartment of Medicine and Health Science, University of Study of Molise, C/da Tappino, Campobasso 86100, ItalyRadiology Unit, Cotugno Hospital, Via Quagliariello, 54, Naples 80131, ItalyDepartment of Interventional and Emergency Radiology “San Giuseppe Moscati Hospital”, Contrada Amoretta, 83100, Avellino, ItalySuperior mesenteric artery syndrome also known as Wilkie's syndrome (WS) and Nutcracker syndrome (NCS) are 2 rare vascular syndromes characterized by the reduction of the aortomesenteric space. In the WS the reduction of the aortomesenteric angle leads to compression of the third portion of the duodenum. In the NCS the reduced aortomesenteric space usually causes a left renal vein (LVR) entrapment and the clinical presentation is a left flank pain, micro/macrohematuria and proteinuria. Arterial hypertension can be an unusual manifestation of the NCS. Herein, we describe the case of a 37-year-old woman with a history of breast cancer and abdominal subocclusion, with a recent onset of arterial hypertension whose enhanced computed tomography (CT) showed a reduced angle between the abdominal aorta and superior mesenteric artery with the CT findings of both the WS and NCS.http://www.sciencedirect.com/science/article/pii/S1930043323003138Aortic mesenteric syndromeWilkie syndromeNutcracker syndromeCTArterial hypertension |
| spellingShingle | Barbara Brogna, MD Andrea La Rocca, RT Vera Giovanetti, MD Marta Ventola, MS Elio Bignardi Lanfranco Aquilino Musto, MD An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes Radiology Case Reports Aortic mesenteric syndrome Wilkie syndrome Nutcracker syndrome CT Arterial hypertension |
| title | An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes |
| title_full | An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes |
| title_fullStr | An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes |
| title_full_unstemmed | An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes |
| title_short | An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes |
| title_sort | interesting presentation of a rare association of the wilkie and nutcracker syndromes |
| topic | Aortic mesenteric syndrome Wilkie syndrome Nutcracker syndrome CT Arterial hypertension |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323003138 |
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