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KMID : 0882420120830050613
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Korean Journal of Medicine
2012 Volume.83 No. 5 p.613 ~ p.618
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Superior Mesenteric Artery Syndrome with Nutcracker Syndrome in a Patient with Type 1 Diabetes Mellitus
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Kim Seong-Hwa
Heo Jeong-Uk
Tang Yuan-Kuang
Kim Jeong-Han
Shu Yu-Cheng
Kim Ki-Tai
Byun Jeong-Rae
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Abstract
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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.
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KEYWORD
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Superior mesenteric artery syndrome, Nutcracker syndrome, Diabetes mellitus
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