Article Text
Superior mesenteric artery syndrome and the ‘nutcracker phenomenon’
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Description
A 55-year-old man presented with a 1-day history of vomiting, epigastric pain and bloating. He reported a weight loss of 3 stone over the last year through dieting, leaving him with a body mass index of 17. An abdominal examination revealed upper abdominal tenderness and distension. Blood tests showed a white cell count of 14.9×109/l but no other abnormalities.
An abdominal CT scan showed massive gastric and proximal duodenal dilation (figure 1), with compression of …