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CASE REPORT
Year : 2014  |  Volume : 2  |  Issue : 3  |  Page : 223-225

Superior mesenteric artery syndrome and nutcracker phenomenon


1 Department of Family and Community Medicine, Northern Border University, Arar, Saudi Arabia
2 Department of Radiology, Dammam Medical Complex, Dammam, Saudi Arabia
3 Department of Medicine, Faculty of Medicine, Northern Border University, Arar, Saudi Arabia

Correspondence Address:
Ahmed Hamad
Department of Medicine, Faculty of Medicine, Northern Border University, P.O.Box No. 1321, Arar, Zip Code 91431
Saudi Arabia
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DOI: 10.4103/1658-631X.142587

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The superior mesenteric artery (SMA) syndrome is a rare cause of proximal intestinal obstruction in which the third part of the duodenum is compressed between SMA and the aorta due to narrowing in aortomesenteric angle. High index of suspicion, in the presence of known risk factors, is the key to early diagnosis. We describe a case of SMA syndrome in a 17-year-old boy who admitted with a long history of abdominal pain and intermittent vomiting. The computed tomography (CT) features were diagnostic of SMA syndrome. The CT also showed partial compression of the left renal vein by SMA with more proximal dilatation (nutcracker phenomenon). He received conservative medical treatment, with a favorable outcome. Our case is unique in that two rare syndromes which rarely coexist found together in our patient.


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