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Nutcracker phenomenon secondary to superior mesenteric artery syndrome.

Tulio Brasileiro Silva PachecoAndre Camara Matoso ChaconJasmine E BriteAmir H SohailManesh Kumar GangwaniRafael Demarchi MalgorJun LevineGutenberg do Amaral Gurgel
Published in: Journal of surgical case reports (2023)
Superior mesenteric artery (SMA) syndrome, compression of the duodenum due to a decreased angle between the aorta and SMA, has a wide range of clinical presentations making it difficult to diagnose. Compression of the left renal vein is known as Nutcracker syndrome. We present the case of a 26-year-old male with a delayed diagnosis of SMA syndrome and Nutcracker phenomenon due to the patient's history of chronic pancreatitis. As a result of his obstruction and aspiration pneumonia, he was diagnosed with septic shock. The patient was treated for septic shock and maintained on an enteric diet with improvement in the body mass index and complete resolution of SMA syndrome symptoms.
Keyphrases
  • septic shock
  • case report
  • physical activity
  • coronary artery
  • depressive symptoms
  • pulmonary hypertension
  • pulmonary artery
  • ultrasound guided
  • mechanical ventilation