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