Nutcracker syndrome, diagnostic challenge: Case report

Abstract

Nutcracker syndrome is a rare vascular abnormality caused by decreased aortomesenteric compass causing compression of the superior mesenteric artery. We present the case of a 23-year-old female with a known and under study gastrointestinal pathological and surgical history, consulted to the emergency department for clinical symptoms characterized by epigastric pain associated with nausea, abdominal distention, and oral intolerance. Subjected to multiple imaging studies, it was not possible to identify the etiology of the symptoms, so a contrasted double abdominal CT scan was requested, which evidenced the probable mesenteric impingement, a diagnosis that was confirmed by abdominal CT angiography. She received endovascular treatment with Wrapsody Merit Stent placement in the left renal vein, achieving a complete recovery.