| CASE REPORT |
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| Year : 2014 | Volume
: 2
| Issue : 3 | Page : 223-225 |
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Superior mesenteric artery syndrome and nutcracker phenomenon
Awwad Alenezy1, Al Dhafeeri Obaid2, Abeer Al Qattan2, Ahmed Hamad3
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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