Wretched Retching in a 16-Year-Old Girl: A Case Report of Nutcracker and Superior Mesenteric Artery Syndromes

Authors

MM Carrillo
RQ Loi
K Kroger
Michael J. Legacy, Beaumont Health
B Kumar

Document Type

Article

Publication Date

11-2020

Publication Title

Annals of Pediatric Research

Abstract

Both Nutcracker Syndrome (NCS) and Superior Mesenteric Artery Syndrome (SMAS) are, at their core, compression syndromes. NCS is characterized by an impedance of flow from the Left Renal Vein (LRV) to the Inferior Vena Cava (IVC) by extrinsic compression of the LRV, most commonly by the Superior Mesenteric Artery (SMA) and the Abdominal Aorta (AA), also known as Anterior Nutcracker Syndrome. This syndrome is sometimes asymptomatic; when symptoms do arise, they can include hematuria, left flank pain, pelvic congestion syndrome, or varicocele. Imaging methods used to diagnose NCS include Doppler Ultrasound (US), Computed Tomography Angiography (CTA), Magnetic Resonance Angiography (MRA), and retrograde venography

Volume

4

Issue

4

First Page

1408

Last Page

1408

Recommended Citation

Carrillo MM, Loi RQ, Kroger K, Legacy MJ, Kumar B. Wretched Retching in a 16-Year-Old Girl: A Case Report of Nutcracker and Superior Mesenteric Artery Syndromes. Ann Pediatr Res. 2020; 4(4):1048.