[Aortomesenteric clamp syndrome].

Rev Prat

Service de chirurgie viscérale, hôpital militaire Hassan II, Laâyoune, université Ibn Zohr, Agadir, Maroc.

Published: October 2024

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[Aortomesenteric clamp syndrome].

Rev Prat

October 2024

Service de chirurgie viscérale, hôpital militaire Hassan II, Laâyoune, université Ibn Zohr, Agadir, Maroc.

View Article and Find Full Text PDF
Article Synopsis
  • - Nutcracker syndrome occurs when the left renal vein is compressed between the aorta and superior mesenteric artery, often seen in patients who have lost significant weight; this case reports a rare instance following complex biliary surgery.
  • - A 32-year-old patient with a history of laparoscopic cholecystectomy developed persistent low back pain, and a CT scan revealed nutcracker syndrome due to weight loss that reduced the aorto-mesenteric angle; anticoagulant treatment resulted in improvement.
  • - The syndrome has three types categorized by the angle of compression, and significant weight loss can worsen the condition; conservative management is effective in most cases, with 60-80% of patients seeing symptom resolution.
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The superior mesenteric artery syndrome also known as Wilkie's syndrome or Benign duodenal stasis, is a condition that occurs when the third duodenum is compressed between the superior mesenteric artery anteriorly and the abdominal aorta posteriorly following the disappearance of the perivascular fatty tissue. It can emulate the symptoms of an upper abdominal obstruction. This case involves a 9-year-old female patient experiencing food vomiting that did not improve with medication.

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Background: Bypass surgery in severe aorto-iliac calcifications is a complex procedure. Aortic clamping can be highly risky and endovascular approach can be unsuccessful. We report our experience describing three cases of chronic mesenteric ischemia.

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Background: Superior mesenteric artery syndrome is a disease with a complex diagnosis, and it is associated with complications that make it even harder to identify. Currently, a frequent association with psychiatric disorders has been noted. Despite numerous case reports and case series, the variability of the disease has not allowed the development of protocols regarding diagnosis and management.

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