Dahir Alasow Mohamed Osman, Elmi Abdinasir Mohamed, Haji Abdirahman Mahmud, Jama Shuayb Moallim Ali, Hirei Hanan Hassan, Osman Ahmed Adam
Radiology Department, Mogadishu Somali Turkey, Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Somalia.
Int Med Case Rep J. 2025 Jul 25;18:937-942. doi: 10.2147/IMCRJ.S519808. eCollection 2025.
Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is an uncommon condition marked by the compression of the third segment of the duodenum between the SMA and the aorta, often occurring after rapid weight loss, particularly in young, slim individuals. Symptoms consist of epigastric pain, bloating, and vomiting. Nutcracker syndrome (NCS) is characterized by the compression of the left renal vein (LRV) between the superior mesenteric artery and the aorta. This condition results in venous varices and elevated pressure within the LRV, which may manifest as hematuria, proteinuria, pelvic congestion, and flank pain. Although each of these syndromes is infrequent, their simultaneous incidence is remarkably occasional. This case report examines a young male patient diagnosed with both SMA syndrome and NCS, emphasizing the importance of considering these conditions in the differential diagnosis of abdominal and renal symptoms.
肠系膜上动脉（SMA）综合征，也称为威尔基综合征，是一种罕见的病症，其特征是十二指肠第三段在肠系膜上动脉和主动脉之间受到压迫，常发生在快速减肥后，尤其是在年轻、体型瘦的个体中。症状包括上腹部疼痛、腹胀和呕吐。胡桃夹综合征（NCS）的特征是左肾静脉（LRV）在肠系膜上动脉和主动脉之间受到压迫。这种情况会导致静脉静脉曲张和左肾静脉内压力升高，可能表现为血尿、蛋白尿、盆腔充血和侧腹疼痛。虽然这些综合征中的每一种都不常见，但它们同时发生的情况极为罕见。本病例报告研究了一名被诊断患有SMA综合征和NCS的年轻男性患者，强调了在腹部和肾脏症状的鉴别诊断中考虑这些病症的重要性。
