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Nutcracker and Wilkie Syndrome Association in Adolescent



Wilkie and Nutcracker syndromes are rare situations where the duodenum or left renal vein is unusually compressed in a sudden narrow-angle between the superior mesenteric artery and the abdominal aorta. The results of these pathologies include symptoms and findings like abdominal pain after eating, sudden weight loss, haematuria, proteinuria, renal venous hypertension, and left flank pain. A 15-year old female patient applied with abdominal pain and weight loss complaints and had colour Doppler ultrasonography and contrast abdominal CT tests performed for aetiology. On both imaging methods, the left renal vein and duodenum end section were identified to be compressed between the superior mesenteric artery and abdominal aorta. With clinical and radiological findings, the patient was diagnosed with Wilkie and Nutcracker syndrome. In adolescent cases applying with abdominal pain and rapid weight loss, the association of Wilkie and Nutcracker syndromes should be remembered. For diagnosis, colour Doppler ultrasonography and contrast abdominal CT are very beneficial radiological imaging techniques.

12 Dec, 2017
e-Published: 14 Dec, 2017


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