Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 6 Issue 6

The Elusive Diagnosis of Superior Mesenteric Artery Syndrome Coexisting with Nutcracker Phenomenon

Alena V Superficial* and Hazel V Arnaldo

National Children’s Hospital, Philippines

*Corresponding Author: Alena V Superficial, National Children’s Hospital, Philippines.

Received: April 11, 2023; Published: May 05, 2023


Superior Mesenteric Artery (SMA) Syndrome  is a rare disease characterized by compression of the distal duodenal segment between the SMA and abdominal aorta (AA). Nutcracker Phenomenon is another condition that occurs when the left renal vein is compressed between the same blood vessels. These 2 rare entities are embodied in an 18-year-old Filipina who presented with a 7-week duration of recurrent abdominal pain and a 5-week duration of intractable vomiting. These symptoms were preceded by hand weakness, finger joint pains, and lower back pain. Due to substantial fluid losses from recurrent vomiting, she was admitted and managed as a case of hypovolemic shock. Further investigation revealed SMA Syndrome with Nutcracker Phenomenon on abdominal CT scan and angiogram. We take the opportunity to present this rare coexistence and discuss its pathophysiology, epidemiology, clinical course, management, and prognosis.

Keywords: superior mesenteric artery, nutcracker phenomenon, vomiting, abdominal pain


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Citation: Alena V Superficial and Hazel V Arnaldo. “The Elusive Diagnosis of Superior Mesenteric Artery Syndrome Coexisting with Nutcracker Phenomenon". Acta Scientific Gastrointestinal Disorders 6.6 (2023): 03-07.


Copyright: © 2023 Alena V Superficial and Hazel V Arnaldo. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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