Nutcracker Phenomenon With Wilkies Syndrome in a Patient With Rectal Cancer

Sohail Iqbal, Kashif Siddique, Usman Saeed, Zahid Anwar Khan, Sarfraz Ahmad


Entrapment of the left renal vein between superior mesenteric artery (SMA) and aorta can be asymptomatic or present as microscopic hematuria and orthostatic proteinuria. It can be associated with other abdominal vascular compression syndromes and duodenal obstruction. We present a 62-year-old Caucasian male patient with nutcracker phenomenon and SMA syndrome secondary to rectal cancer associated cachexia. Computed tomographic angiography is a non-invasive diagnostic modality which depicts it in great details. Its early clinical suspicion and radiologic assessment help in patient management to avert possible complications such as blood loss in already debilitating patients such as ours.

J Med Cases. 2016;7(7):282-285


Nutcracker phenomenon; Nutcracker syndrome; Superior mesenteric artery syndrome; Cachexia; Rectal cancer

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