Superior mesenteric artery transposition for acute mesenteric ischemia.
Superior mesenteric artery (SMA) transposition is a surgical technique previously described in the literature for the management of Nutcracker syndrome, SMA syndrome, and rarely their combination. However, its role in the successful treatment of acute mesenteric ischemia (AMI) remains unclear. A 55-…
Nutcracker syndrome with pelvic congestion syndrome: A case report.
Nutcracker syndrome is a rare clinical entity characterized by external compression of left renal vein (LRV) disturbing the outflow of blood into inferior venacava. We present a case of a 35-year-old female who presented to gynecology outpatient department (OPD) with abdominal pain of right lower qu…
Pediatric Abdominal Vascular Compression Syndromes: Clinical Presentation, Comorbidities, and Outcomes Following Surgical Correction.
The goal of this case series was to characterize the clinical presentation, comorbidities, and postoperative outcomes of pediatric patients who underwent surgical repair for Median Arcuate Ligament Syndrome (MALS) and/or Nutcracker Syndrome (NCS). We conducted a retrospective chart review of 17 pedi…
Robotic left renal vein transposition for nutcracker syndrome: side-clamp to tailored reconstruction.
Our objective was to evaluate the safety and efficacy of staged, anatomy-tailored robot-assisted left renal vein (LRV) transposition procedures for the treatment of nutcracker syndrome (NCS). This retrospective single-centre study (2019-2025) included 88 patients stratified by technique: conventiona…
Doppler ultrasound diagnosis of anterior nutcracker syndrome presenting with isolated urinary abnormalities.
Nutcracker syndrome is a vascular compression disorder caused by entrapment of the left renal vein between the abdominal aorta and the superior mesenteric artery, leading to renal venous hypertension and a spectrum of urinary and pelvic symptoms. We report the case of a 19-year-old male referred for…
Pediatric Superior Mesenteric Artery Syndrome: A Rare Case Report and Literature Review From Sudan.
A 10-year-old Sudanese boy with chronic bilious vomiting, cachexia, and scaphoid abdomen was diagnosed with Superior Mesenteric Artery Syndrome (SMAS) via CT angiography. After failed conservative management, side-to-side duodenojejunostomy resolved symptoms. This first reported pediatric SMAS case…
Wilkie syndrome combined with nutcracker syndrome presented as syncopal episodes: A case report.
Combined aortomesenteric compression is an extremely rare vascular condition where both the duodenum (Wilkie) and the left renal vein (nutcracker) are compressed between the aorta and the superior mesenteric artery (SMA). The causal factor is the abnormal course of the SMA originating from the abdom…