Combined Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Patient: A Case Report and Review of the Literature
| Autor: | Fadi Hayek, Samer Diab |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Renal Nutcracker Syndrome Abdominal pain medicine.medical_specialty Adolescent Duodenum Superior Mesenteric Artery Syndrome 030204 cardiovascular system & hematology Asymptomatic Renal Veins 03 medical and health sciences Nutcracker syndrome Rare Diseases 0302 clinical medicine Mesenteric Artery Superior medicine.artery Humans Medicine Superior mesenteric artery Aorta business.industry Articles General Medicine medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis medicine.symptom business Superior mesenteric artery syndrome |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 18-year-old Final Diagnosis: Superior mesenteric artery syndrome Symptoms: Abdominal pain Medication:— Clinical Procedure: — Specialty: Surgery Objective: Rare co-existance of disease or pathology 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. |
| Databáze: | OpenAIRE |
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