ArticleThe American journal of case reports2020
A Case of Nutcracker Syndrome Combined with Wilkie Syndrome with Unusual Clinical Presentation.
Article in The American journal of case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- Article
- Article
- The Diagnosis of Wilkie's Syndrome Associated with Nutcracker Syndrome: A Case Report and Literature Review.Diagnostics (Basel, Switzerland) · 2024Article
- A unique posterior nutcracker syndrome combined with Wilkie syndrome: A singular case.Radiology case reports · 2024Article
- Atypical case of coexistent vascular compression syndromes: median arcuate ligament syndrome and nutcracker syndrome.BMJ case reports · 2023Article
- An interesting presentation of a rare association of the Wilkie and Nutcracker syndromes.Radiology case reports · 2023Article
- Double nutcracker syndrome in a patient with circumaortic venous ring: a rare case report.Journal of ultrasonography · 2023Article
- Combined superior mesenteric artery syndrome and nutcraker syndrome presenting as acute pancreatitis: a case report.Jornal vascular brasileiro · 2023Article
- Ultrasound features of posterior nutcracker syndrome: case series and literature analysis.Quantitative imaging in medicine and surgery · 2022Article
- Interventional Management of a Rare Combination of Nutcracker and Wilkie Syndromes.Journal of personalized medicine · 2022Review
- Vascular compression syndromes: a pictorial review.Ultrasonography (Seoul, Korea) · 2022Article
- Wilkie Syndrome and Pseudo-Nutcracker Syndrome a Rare Combination: Description of a Case.Cureus · 2021Article
- Stylo-Jugular Venous Compression Syndrome: Lessons Based on a Case Report.The American journal of case reports · 2021Article
- May-Thurner Syndrome with Double Compression of the Iliac Vein: Lessons Based on a Case Report.The American journal of case reports · 2021Article
- Posterior nutcracker syndrome: a case report.Journal of medical case reports · 2021Article
- The Role of Ultrasound in Dunbar Syndrome: Lessons Based on a Case Report.The American journal of case reports · 2020Article
- The Ultrasound Findings in a Rare Case of Nutcracker Syndrome, Wilkie's Syndrome, and Dunbar Syndrome Combination.Journal of medical ultrasoundArticle
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Nutcracker syndrome and Wilkie's syndrome are rare vascular diseases due to the abnormal course of the superior mesenteric artery originating from the abdominal aorta with reduced angle (<22°) and consequent compression of the left renal vein (nutcracker) and duodenum (Wilkie). Here, we report the case of a patient with a rare combination of these 2 syndromes and with unusual clinical manifestation of post-prandial pain. CASE REPORT We describe the case of a young male patient with rapid weight loss, coupled with post-prandial abdominal pain, with sub-acute onset, not associated with other symptoms. The ultrasound examination found an aorto-mesenteric angle of 18° and compression of the left renal vein and left varicocele. A CT study was performed to exclude oncological diseases and/or other pathologies responsible for the pain and weight loss, which confirmed the ultrasound findings and showed compression of the third part of the duodenum. The patient underwent endovascular treatment, with stent placement in the left renal vein, which resolved the vascular compression and of the duodenum, with regression of symptoms. CONCLUSIONS The ultrasound scan promptly highlighted the reduction of the aorto-mesenteric angle and the signs of venous congestion of the left renal vein. Based on this experience, in patients with weight loss and post-prandial pain, in our opinion, diagnostic investigations should also be extended to the study of the aorto-mesenteric angle to confirm or exclude any vascular and/or duodenal compression.
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