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NUTCRACKER SYNDROME: A REPORT OF TWO CASES
1Department of Radiology, Turaif General Hospital, Northern Borders, Saudi Arabia.
Annals of Ibadan Postgraduate Medicine
|May 19, 2025
Summary
Nutcracker syndrome, a condition causing abdominal pain, can be difficult to diagnose due to vague symptoms. Clinicians should consider this diagnosis for patients with unexplained upper abdominal pain, aided by radiological evaluation.
Area of Science:
- Medical diagnostics
- Vascular pathology
Background:
- Nutcracker syndrome presents diagnostic challenges due to nonspecific symptoms.
- It involves the compression of the left renal vein between the superior mesenteric artery and the aorta.
Observation:
- A case series of two patients with acute exacerbation of insidious upper abdominal pain is presented.
- Radiological evaluation, including computerized tomography, confirmed Nutcracker syndrome.
Findings:
- Key radiological findings include reduced aortomesenteric angles and distances.
- The diagnosis relies heavily on imaging techniques.
Implications:
- This condition should be considered in the differential diagnosis of patients with recurrent, undefined abdominal pain.
- Management is typically conservative, with surgery reserved for rare cases.
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