Nutcracker phenomenon secondary to superior mesenteric artery syndrome

Superior mesenteric artery (SMA) syndrome, compression of the duodenum due to a decreased angle between the aorta and SMA, has a wide range of clinical presentations making it difficult to diagnose. Compression of the left renal vein is known as Nutcracker syndrome. We present the case of a 26-year-...

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Autores principales: Pacheco, Tulio Brasileiro Silva, Chacon, Andre Camara Matoso, Brite, Jasmine, Sohail, Amir H, Gangwani, Manesh Kumar, Malgor, Rafael D, Levine, Jun, do Amaral Gurgel, Gutenberg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9850654/
https://www.ncbi.nlm.nih.gov/pubmed/36685119
http://dx.doi.org/10.1093/jscr/rjac622
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author Pacheco, Tulio Brasileiro Silva
Chacon, Andre Camara Matoso
Brite, Jasmine
Sohail, Amir H
Gangwani, Manesh Kumar
Malgor, Rafael D
Levine, Jun
do Amaral Gurgel, Gutenberg
author_facet Pacheco, Tulio Brasileiro Silva
Chacon, Andre Camara Matoso
Brite, Jasmine
Sohail, Amir H
Gangwani, Manesh Kumar
Malgor, Rafael D
Levine, Jun
do Amaral Gurgel, Gutenberg
author_sort Pacheco, Tulio Brasileiro Silva
collection PubMed
description Superior mesenteric artery (SMA) syndrome, compression of the duodenum due to a decreased angle between the aorta and SMA, has a wide range of clinical presentations making it difficult to diagnose. Compression of the left renal vein is known as Nutcracker syndrome. We present the case of a 26-year-old male with a delayed diagnosis of SMA syndrome and Nutcracker phenomenon due to the patient’s history of chronic pancreatitis. As a result of his obstruction and aspiration pneumonia, he was diagnosed with septic shock. The patient was treated for septic shock and maintained on an enteric diet with improvement in the body mass index and complete resolution of SMA syndrome symptoms.
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spelling pubmed-98506542023-01-20 Nutcracker phenomenon secondary to superior mesenteric artery syndrome Pacheco, Tulio Brasileiro Silva Chacon, Andre Camara Matoso Brite, Jasmine Sohail, Amir H Gangwani, Manesh Kumar Malgor, Rafael D Levine, Jun do Amaral Gurgel, Gutenberg J Surg Case Rep Case Report Superior mesenteric artery (SMA) syndrome, compression of the duodenum due to a decreased angle between the aorta and SMA, has a wide range of clinical presentations making it difficult to diagnose. Compression of the left renal vein is known as Nutcracker syndrome. We present the case of a 26-year-old male with a delayed diagnosis of SMA syndrome and Nutcracker phenomenon due to the patient’s history of chronic pancreatitis. As a result of his obstruction and aspiration pneumonia, he was diagnosed with septic shock. The patient was treated for septic shock and maintained on an enteric diet with improvement in the body mass index and complete resolution of SMA syndrome symptoms. Oxford University Press 2023-01-19 /pmc/articles/PMC9850654/ /pubmed/36685119 http://dx.doi.org/10.1093/jscr/rjac622 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Pacheco, Tulio Brasileiro Silva
Chacon, Andre Camara Matoso
Brite, Jasmine
Sohail, Amir H
Gangwani, Manesh Kumar
Malgor, Rafael D
Levine, Jun
do Amaral Gurgel, Gutenberg
Nutcracker phenomenon secondary to superior mesenteric artery syndrome
title Nutcracker phenomenon secondary to superior mesenteric artery syndrome
title_full Nutcracker phenomenon secondary to superior mesenteric artery syndrome
title_fullStr Nutcracker phenomenon secondary to superior mesenteric artery syndrome
title_full_unstemmed Nutcracker phenomenon secondary to superior mesenteric artery syndrome
title_short Nutcracker phenomenon secondary to superior mesenteric artery syndrome
title_sort nutcracker phenomenon secondary to superior mesenteric artery syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9850654/
https://www.ncbi.nlm.nih.gov/pubmed/36685119
http://dx.doi.org/10.1093/jscr/rjac622
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