Concomitant Nutcracker syndrome with superior mesenteric artery syndrome


Long-standing vague abdominal symptoms, recurrent gastro-esophageal reflux and vomiting. No hematuria or left renal colic.

Patient Data

Age: 10 years
Gender: Female

There is a reduced aortomesenteric angle having the following criteria:

Reduced aortomesenteric distance and aortomesenteric angle, measuring 4 mm and 23 degrees, respectively.

Fluid-filled stomach and 1st part of the duodenum with tapering of the retromesenteric 3rd duodenal part suggestive of its compression. Entrapment of the left renal vein and mild stenosis of its lumen.

Case Discussion

Normally, the aortomesenteric angle and aortomesenteric distance are 25-60° and 10-28 mm, respectively.

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Case information

rID: 55941
Published: 4th Oct 2017
Last edited: 9th Oct 2017
System: Vascular
Inclusion in quiz mode: Included

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