Ann Pediatr Res | Volume 4, Issue 4 | Case Report | Open Access

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

Carrillo MM*, Loi RQ, Kroger K, Legacy MJ and Kumar B

Department of Pediatrics, Michigan State University, USA

*Correspondance to: Carrillo MM 

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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.

Keywords:

Nutcracker syndrome; Superior mesenteric artery syndrome; Dysmenorrhea; Anxiety

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..

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