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Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is an uncommon condition marked by the compression of the third segment of the duodenum between the SMA and the aorta, often occurring after rapid weight loss, particularly in young, slim individuals. Symptoms consist of epigastric pain, bloating, and vomiting. Nutcracker syndrome (NCS) is characterized by the compression of the left renal vein (LRV) between the superior mesenteric artery and the aorta. This condition results in venous varices and elevated pressure within the LRV, which may manifest as hematuria, proteinuria, pelvic congestion, and flank pain. Although each of these syndromes is infrequent, their simultaneous incidence is remarkably occasional. This case report examines a young male patient diagnosed with both SMA syndrome and NCS, emphasizing the importance of considering these conditions in the differential diagnosis of abdominal and renal symptoms.
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http://dx.doi.org/10.2147/IMCRJ.S519808 | DOI Listing |
Int J Surg
September 2025
Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Aim And Background: This study investigates the impact of D3 lymph node dissection extent on postoperative bowel function and nutritional status in patients undergoing radical surgery for right-sided colon cancer. Given that postoperative diarrhea can significantly affect the quality of life, we examined whether dissection boundaries influence these outcomes.
Methods: This was a prospective, randomized controlled trial conducted at a high-volume tertiary hospital.
Int J Surg
September 2025
Department of Hepatobiliary and Pancreatic Surgery, Zhejiang The Second Affiliated Hospital, University School of Medicine, Hangzhou, China.
Background: Enucleation has the advantages of preserving function and avoiding pancreaticoduodenectomy for benign and low-grade malignant neoplasms in the pancreatic head. However, laparoscopic enucleation (LEn) of pancreatic head tumors remains challenging in terms of bleeding control and duct integrity preservation because of the complicated blood supply to the pancreatic head and the adjacent relationships of lesions with the main pancreatic duct (MPD), especially for deep-seated or broad-based lesions. Here, we developed a novel dual-arterial occlusion technique to facilitate LEn of pancreatic head tumors and evaluated its feasibility and safety.
View Article and Find Full Text PDFEur J Case Rep Intern Med
August 2025
Hanoi Heart Hospital, Hanoi, Vietnam.
Background: Perforation of artery causing bleeding is a rare but serious complication of percutaneous coronary intervention (PCI), with potentially life-threatening consequences. Prompt recognition and management are crucial, particularly in high-risk patients or complex procedures. Coils are essential tools for sealing perforated or ruptured vessels, preventing further haemorrhage and stabilising the patient.
View Article and Find Full Text PDFSurg Case Rep
September 2025
Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan.
Introduction: von Hippel-Lindau (VHL) disease is an autosomal dominant hereditary disorder characterized by the development of tumor-like lesions in multiple organs. While central nervous system hemangioblastomas, pancreatic neuroendocrine tumors, and pancreatic cysts are commonly associated with VHL disease, there have been few reported cases of pancreatic hemangioblastoma in patients with VHL disease.
Case Presentation: A male patient in his 30s had been diagnosed with VHL disease and had been followed for cerebellar and spinal hemangioblastomas, and renal cell carcinoma, for which he had undergone several tumor resections, radiation therapy, and a ventriculoperitoneal shunt.
Int J Surg Case Rep
September 2025
Arai Hospital, 2-2-28, Kukichuo, Kuki-shi, Saitama, 346-0003, Japan.
Introduction And Importance: Transverse mesocolic hernia is an extremely rare type of internal hernia, with only a limited number of cases reported to date. In this case report, we present a geriatric patient with a transverse mesocolic hernia who was successfully treated with emergent laparoscopic surgery.
Case Presentation: An 89-year-old male patient presented with abdominal pain and distension that had begun the previous day.