Castro Bárbara Neto, Ferreira Ana Rita, Graça Susana, Oliveira Manuel
Centro Hospitalar Vila Nova de Gaia/Espinho - CHVNG/E, Vila Nova de Gaia, Porto, Portugal.
J Vasc Bras. 2023 Jun 16;22:e20220161. doi: 10.1590/1677-5449.202201612. eCollection 2023.
Superior mesenteric artery syndrome designates compression of the third part of the duodenum between the superior mesenteric artery and the aorta. This condition has a low incidence, being more common in thin young women. Nutcracker syndrome is compression of the left renal vein between the superior mesenteric artery and the aorta. Both entities are rare, and their coexistence has been reported in a few cases. Conservative treatment targeting weight gain is sufficient in most cases. An association between the superior mesenteric artery syndrome and acute pancreatitis has rarely been reported. We intend to describe the case of an 18-year-old girl who was admitted to the emergency room with epigastric pain and emesis. Our investigation revealed acute acalculous pancreatitis. During work-up, we discovered superior mesenteric artery syndrome and a compressed left renal vein. The patient is on conservative treatment, and her symptoms have improved.
肠系膜上动脉综合征是指十二指肠第三部在肠系膜上动脉和主动脉之间受到压迫。这种情况发病率较低，在消瘦的年轻女性中更为常见。胡桃夹综合征是指左肾静脉在肠系膜上动脉和主动脉之间受到压迫。这两种情况都很罕见，少数病例报告过它们并存的情况。大多数情况下，以增加体重为目标的保守治疗就足够了。肠系膜上动脉综合征与急性胰腺炎之间的关联鲜有报道。我们打算描述一名18岁女孩的病例，她因上腹部疼痛和呕吐被送入急诊室。我们的检查发现是急性非结石性胰腺炎。在检查过程中，我们发现了肠系膜上动脉综合征和受压的左肾静脉。该患者正在接受保守治疗，症状已有所改善。
