An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report

The superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an under...

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Main Authors: Benayad Aourarh, Yannick Bangda, Sanaa Berrag, Tarik Adioui, Mouna Tamzaourte, Soumya Elgraini, Lina Belkouchi, Rachida Saouab, Omar Belkouchi, Abdelnaim Ait Ali
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231176395
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author Benayad Aourarh
Yannick Bangda
Sanaa Berrag
Tarik Adioui
Mouna Tamzaourte
Soumya Elgraini
Lina Belkouchi
Rachida Saouab
Omar Belkouchi
Abdelnaim Ait Ali
author_facet Benayad Aourarh
Yannick Bangda
Sanaa Berrag
Tarik Adioui
Mouna Tamzaourte
Soumya Elgraini
Lina Belkouchi
Rachida Saouab
Omar Belkouchi
Abdelnaim Ait Ali
author_sort Benayad Aourarh
collection DOAJ
description The superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an underreported entity due to the absence of specific pathognomonic signs. We report the case of a 59-year-old man, admitted for acute bilious vomiting, who underwent a gastroscopy and a computed tomography scan revealing a Wilkie’s syndrome associated with a dilated posterior left renal vein communicating with the left ascending lumbar vein without connection with the inferior vena cava mimicking a nutcracker phenomenon.
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spelling doaj.art-5d2db9fd5c5e4826afbb53ed5ae86e192023-05-23T07:04:01ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-05-011110.1177/2050313X231176395An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case reportBenayad Aourarh0Yannick Bangda1Sanaa Berrag2Tarik Adioui3Mouna Tamzaourte4Soumya Elgraini5Lina Belkouchi6Rachida Saouab7Omar Belkouchi8Abdelnaim Ait Ali9Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of General Surgery 2, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoDepartment of General Surgery 2, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoThe superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an underreported entity due to the absence of specific pathognomonic signs. We report the case of a 59-year-old man, admitted for acute bilious vomiting, who underwent a gastroscopy and a computed tomography scan revealing a Wilkie’s syndrome associated with a dilated posterior left renal vein communicating with the left ascending lumbar vein without connection with the inferior vena cava mimicking a nutcracker phenomenon.https://doi.org/10.1177/2050313X231176395
spellingShingle Benayad Aourarh
Yannick Bangda
Sanaa Berrag
Tarik Adioui
Mouna Tamzaourte
Soumya Elgraini
Lina Belkouchi
Rachida Saouab
Omar Belkouchi
Abdelnaim Ait Ali
An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report
SAGE Open Medical Case Reports
title An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report
title_full An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report
title_fullStr An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report
title_full_unstemmed An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report
title_short An atypical cause of vomiting: Coexisting Wilkie’s syndrome and a left renal malformation mimicking a nutcracker phenomenon—A case report
title_sort atypical cause of vomiting coexisting wilkie s syndrome and a left renal malformation mimicking a nutcracker phenomenon a case report
url https://doi.org/10.1177/2050313X231176395
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