title: Superior mesenteric artery syndrome accompanying with nutcracker syndrome: a case report.
abstract: BACKGROUND
  Superior mesenteric artery syndrome is an uncommon cause of duodenal obstruction, and its manifestations are generally associated with compression on the third part of the duodenum between the abdominal aorta and superior mesenteric artery.
  
  
  METHODS
  In this report, a patient is described presenting with epigastric pain and weight loss due to superior mesenteric artery syndrome. The patient has also nutcracker syndrome, which is the compression of the left renal vein between the aorta and the superior mesenteric artery at its origin.
  
  
  CONCLUSIONS
  In addition to an appropriate clinical history, CT findings indicating decreased aortomesenteric angle and a shortened aortomesenteric distance can suggest the diagnosis for both the superior mesenteric artery syndrome and accompanying nutcracker syndrome.
authors.affiliation: Department of Radiology, School of Medicine, Kirikkale University, Kirikkale, Turkey.
authors.forename: Mikail
authors.initials: M
authors.lastname: Inal
authors.affiliation: Department of Radiology, School of Medicine, Kirikkale University, Kirikkale, Turkey.
authors.forename: Birsen
authors.initials: B
authors.lastname: Unal Daphan
authors.affiliation: Department of Radiology, School of Medicine, Kirikkale University, Kirikkale, Turkey.
authors.forename: Mirace Yasemin
authors.initials: MY
authors.lastname: Karadeniz Bilgili
keywords: Duodenal Obstruction; Hematuria; Renal Nutcracker Syndrome; Superior Mesenteric Artery Syndrome; Weight Loss