ReviewThe American journal of case reports2020
Combined Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Patient: A Case Report and Review of the Literature.
Review 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 25 papers.
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Who cites it
25 citing papers in PubMed, 41 citations in OpenAlex.
- Acute complete duodenal obstruction caused by superior mesenteric artery syndrome in an adolescent: a case report.International journal of surgery case reports · 2026Article
- Article
- An Overview of Vascular Compression Syndromes and Associations with Autonomic Dysfunction: A Review.Biomedicines · 2026Review
- Aorto-mesenteric space reduction in women with anorexia nervosa: retrospective audit and analysis.Journal of eating disorders · 2026Article
- Surgical management of Wilkie syndrome in young patients: a systematic review and the first report of long-term endoscopic follow-up.Journal of surgical case reports · 2025Article
- Article
- Article
- Double trouble: A case report of concurrent superior mesenteric artery syndrome and nutcracker syndrome in a previously healthy young adult.International journal of surgery case reports · 2025Article
- Combined Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Male Patient Presenting as Atypical Vomiting and Rapid Weight Loss: A Case Report.International medical case reports journal · 2025Article
- The Diagnosis of Wilkie's Syndrome Associated with Nutcracker Syndrome: A Case Report and Literature Review.Diagnostics (Basel, Switzerland) · 2024Article
- Understanding Superior Mesenteric Artery Syndrome: Etiology, Symptoms, Diagnosis, and Management.Cureus · 2024Review
- A new notable compression source of left renal vein entrapment: right renal artery.World journal of urology · 2024Article
- Acute superior mesenteric artery syndrome complicated by severe gastric, pancreatic and renal ischaemia.BMJ case reports · 2024Article
- Superior Mesenteric Artery Syndrome in Anorexia Nervosa: A Case Report and a Systematic Revision of the Literature.Nutrients · 2024Review
- Co-occurrence of ectopic pancreas and superior mesenteric artery syndrome in a child: A case report and literature review.SAGE open medical case reports · 2024Article
- Atypical case of coexistent vascular compression syndromes: median arcuate ligament syndrome and nutcracker syndrome.BMJ case reports · 2023Article
- Superior Mesenteric Artery Syndrome and Nutcracker Syndrome as the Presentation of Crohn's Disease in a Young Patient: A Case Report and Review of Literature.JPGN reports · 2023Article
- Superior mesenteric artery syndrome: Diagnosis and management.World journal of clinical cases · 2023Review
- Combined superior mesenteric artery syndrome and nutcraker syndrome presenting as acute pancreatitis: a case report.Jornal vascular brasileiro · 2023Article
- Interventional Management of a Rare Combination of Nutcracker and Wilkie Syndromes.Journal of personalized medicine · 2022Review
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Superior mesenteric artery syndrome is the compression of the third portion of the duodenum between the superior mesenteric artery and the aorta causing abdominal pain and vomiting. Nutcracker syndrome is the compression of the left renal vein between the superior mesenteric artery and the aorta causing symptoms related to renal congestion. Both entities, although well described in the literature, are individually rare, and even though they might share a common etiology, their co-existence has been reported in only a few case reports. CASE REPORT An 18-year-old male, previously healthy, presented with postprandial abdominal pain relieved by bilious vomiting that started shortly after he lost weight fasting. Our investigation revealed superior mesenteric artery syndrome as well as a compressed left renal vein. He was started on an enriched fluid diet which was progressed gradually as he regained weight. His left renal vein compression at the time was asymptomatic; it will be followed up for possible resolution after the patient's weight returns to normal. CONCLUSIONS Superior mesenteric artery syndrome is to be suspected in patients with abdominal pain following weight loss. Conservative treatment with a focus on weight regain will cure most cases. Asymptomatic or mildly symptomatic nutcracker syndrome is treated conservatively. For patients requiring intervention, laparoscopic extravascular titanium stent placement seems to be the least invasive promising option today, awaiting further definitive studies.
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Registered trials
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