SMA syndrome and nutcracker phenomenon

Case contributed by Ayla Al Kabbani
Diagnosis certain

Presentation

Abdominal pain.

Patient Data

Gender: Female
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Extreme dilatation of the stomach and proximal duodenum with tapered narrowing of the 3rd part of the duodenum as it passes between the SMA and aorta. The rest of the small bowel are collapsed distally.

The left renal vein is also compressed between the SMA and aorta.

Case Discussion

This case illustrates both of the superior mesenteric artery compression disorders: the superior mesenteric artery syndrome and nutcracker phenomenon.

The surgery was done and confirmed the diagnosis.

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