Almunifi Abdullah, Al-Dhayan Abdullah Z, Alanazi Musab, Ababtain Omar A
Department of Surgery, College of Medicine, Majmaah University, Majmaah, SAU.
Department of Surgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, SAU.
Cureus. 2024 Aug 2;16(8):e66002. doi: 10.7759/cureus.66002. eCollection 2024 Aug.
Superior mesenteric artery (SMA) syndrome causes duodenal obstruction between the SMA and aorta, which culminates into bowel obstruction. Meanwhile, nutcracker syndrome (NCS) involves left renal vein compression between the aorta and SMA, categorized by the compression site. We present a 15-year-old female with no prior medical or surgical history who displayed early signs of the rarely coexisting SMA and nutcracker phenomena, which were managed symptomatically along with nutritional support to reach her optimal body mass index.
肠系膜上动脉(SMA)综合征导致十二指肠在SMA和主动脉之间受阻,最终发展为肠梗阻。同时,胡桃夹综合征(NCS)是指左肾静脉在主动脉和SMA之间受到压迫,根据压迫部位进行分类。我们报告了一名15岁女性,既往无内科或外科病史,出现了罕见的SMA和胡桃夹现象同时存在的早期症状,通过对症治疗和营养支持,使其达到了最佳体重指数。