Year 2021 / Volume 113 / Number 5
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Aortomesenteric clamp: association with Wilkie syndrome and nutcracker syndrome

372-374

DOI: 10.17235/reed.2021.7580/2020

Fernando Berdugo Hurtado, María del Mar Díaz Alcázar, María del Mar Torrecillas Cabrera, José Antonio Miras Ventura,

Abstract
A 67-year-old female was referred due to epigastric pain, vomiting and weight loss of 6 kg in the past months. Blood tests were performed showing hematuria. An abdominal Doppler ultrasound did not show anything abnormal. Thus, an abdominal computed tomography (CT) angiography and a magnetic resonance imaging (MRI) enterography were performed, objectifying an aortomesenteric angle of 10.8° (reference range 38-56°), which caused a complete collapse of the left renal vein (“nutcracker phenomenon”) and duodenal compression with retrograde dilatation (“Wilkie syndrome”). Conservative measures and nutritional support were adopted during hospitalization. She was discharged due to a good tolerance to an oral diet, the absence of symptoms and a good contrast pass in the esophagogastroduodenal transit.
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References
1. Moreno Márquez C, Galván Fernández MD, Cortés Sañudo X, et al. Asociación inusual: síndrome del ligamento arcuato y síndrome del cascanueces Rev Esp Enferm Dig 2019; 111(3): 241-2. DOI: 10.17235/reed.2019.5997/2018
2. Oliva-Fonte C, Fernández-Rey CL, Pereda-Rodríguez J, et al. Síndrome de Wilkie o pinza aortomesentérica. Rev Esp Enferm Dig 2017; 109(1): 62-3.
3. Cienfuegos JA, Vivas Pérez I, Rotellar F. Co-ocurrence of compression syndromes: celiac axis stenosis, superior mesenteric artery and nutcracker syndrome. Rev Esp Enferm Dig. In press. DOI: 10.17235/reed.2020.6945/2020
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Berdugo Hurtado F, Díaz Alcázar M, Torrecillas Cabrera M, Miras Ventura J. Aortomesenteric clamp: association with Wilkie syndrome and nutcracker syndrome. 7580/2020


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Publication history

Received: 09/10/2020

Accepted: 24/10/2020

Online First: 07/01/2021

Published: 10/05/2021

Article revision time: 4 days

Article Online First time: 90 days

Article editing time: 213 days


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