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http://dx.doi.org/10.3904/kjm.2012.83.5.613

Superior Mesenteric Artery Syndrome with Nutcracker Syndrome in a Patient with Type 1 Diabetes Mellitus  

Kim, Seong Hwa (Department of Internal Medicine, Jung-Ang General Hospital)
Heo, Jeong Uk (Department of Internal Medicine, Jung-Ang General Hospital)
Tang, Yuan Kuang (Department of Internal Medicine, Jung-Ang General Hospital)
Kim, Jung Han (Department of Internal Medicine, Jung-Ang General Hospital)
Shu, Yu Cheng (Department of Internal Medicine, Jung-Ang General Hospital)
Kim, Ki Tai (Department of Internal Medicine, Jung-Ang General Hospital)
Byun, Jeong Rae (Department of Internal Medicine, Hyundae General Hospital)
Publication Information
The Korean Journal of Medicine / v.83, no.5, 2012 , pp. 613-618 More about this Journal
Abstract
Superior mesenteric artery (SMA) syndrome is an uncommon cause of a proximal intestinal obstruction. The most characteristic symptoms are postprandial fullness, nausea, and vomiting. The diagnosis is established by ultrasonography and contrast-enhanced computed tomography. Almost all patients respond well to conservative management. However, if conservative management fails, surgical options should be applied. In this article, we report a case of SMA syndrome with Nutcracker syndrome in a patient with diabetes mellitus. Establishing the diagnosis of Nutcracker syndrome is usually based on clinical suspicion and radiological findings. Several complications that have been reported to result from SMA syndrome include peptic ulcer disease, pancreatitis, metabolic alkalosis, and uremic syndrome. However, Nutcracker syndrome accompanied by SMA syndrome is extremely uncommon, as described in this case. To our knowledge, this association has not been reported previously.
Keywords
Superior mesenteric artery syndrome; Nutcracker syndrome; Diabetes mellitus;
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