Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report
Purpose: The duodenum and the left renal vein (LRV) occupy the vascular angle made by the superior mesenteric artery (SMA) and the aorta. When the angle becomes too acute, compression of either structure can occur. Although superior mesenteric artery syndrome (SMAS) and renal Nutcracker syndrome (NC...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-06-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/1179547619855383 |
| _version_ | 1811289220724031488 |
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| author | Nabil A Al-Zoubi |
| author_facet | Nabil A Al-Zoubi |
| author_sort | Nabil A Al-Zoubi |
| collection | DOAJ |
| description | Purpose: The duodenum and the left renal vein (LRV) occupy the vascular angle made by the superior mesenteric artery (SMA) and the aorta. When the angle becomes too acute, compression of either structure can occur. Although superior mesenteric artery syndrome (SMAS) and renal Nutcracker syndrome (NCS) share the same pathogenesis, concurrent development has rarely been reported. Case report: A 38-year-old female patient with a past history of gastrojejunostomy operated 6 years ago due to SMAS. She referred to vascular clinic with sever intermittent left-sided loin pain during the last 6 years. Computed tomography (CT)-angiogram and selective LRV angiogram with pressure gradient confirmed the diagnosis of NCS. She was treated by LRV transposition with uneventful recovery and considerable relief of symptoms. Conclusions: NCS accompanying with SMAS is quite unusual. A patient, who first presents with clinical evidence of SMAS, could also simultaneously or sometime thereafter present with NCS and vice versa. |
| first_indexed | 2024-04-13T03:51:03Z |
| format | Article |
| id | doaj.art-41310f27790640c8a524b32ad660e34a |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-04-13T03:51:03Z |
| publishDate | 2019-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-41310f27790640c8a524b32ad660e34a2022-12-22T03:03:50ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762019-06-011210.1177/1179547619855383Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case ReportNabil A Al-ZoubiPurpose: The duodenum and the left renal vein (LRV) occupy the vascular angle made by the superior mesenteric artery (SMA) and the aorta. When the angle becomes too acute, compression of either structure can occur. Although superior mesenteric artery syndrome (SMAS) and renal Nutcracker syndrome (NCS) share the same pathogenesis, concurrent development has rarely been reported. Case report: A 38-year-old female patient with a past history of gastrojejunostomy operated 6 years ago due to SMAS. She referred to vascular clinic with sever intermittent left-sided loin pain during the last 6 years. Computed tomography (CT)-angiogram and selective LRV angiogram with pressure gradient confirmed the diagnosis of NCS. She was treated by LRV transposition with uneventful recovery and considerable relief of symptoms. Conclusions: NCS accompanying with SMAS is quite unusual. A patient, who first presents with clinical evidence of SMAS, could also simultaneously or sometime thereafter present with NCS and vice versa.https://doi.org/10.1177/1179547619855383 |
| spellingShingle | Nabil A Al-Zoubi Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report Clinical Medicine Insights: Case Reports |
| title | Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report |
| title_full | Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report |
| title_fullStr | Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report |
| title_full_unstemmed | Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report |
| title_short | Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report |
| title_sort | nutcracker syndrome accompanying with superior mesenteric artery syndrome a case report |
| url | https://doi.org/10.1177/1179547619855383 |
| work_keys_str_mv | AT nabilaalzoubi nutcrackersyndromeaccompanyingwithsuperiormesentericarterysyndromeacasereport |