Table 1.
Abdominal vascular compression syndromes.
Syndrome | Also known as | Compressed structure | Cause of compression | Clinical manifestations |
---|---|---|---|---|
Celiac artery compression syndrome | Median arcuate ligament syndrome Dunbar syndrome |
Celiac artery | Median arcuate ligament | Epigastric pain, weight loss, nausea, and vomiting |
Renal vein compression syndrome | left renal vein entrapment syndrome Nutcracker syndrome |
Left renal vein | SMA and AA (anterior nutcracker) AA and vertebral body (posterior nutcracker) |
Left flank pain, hematuria, symptoms associated with gonadal vein reflux |
Iliac vein compression syndrome | May–Thurner syndrome Cockett syndrome |
Left CIV | Right CIA and vertebral body | Left lower limb swelling, symptoms associated with deep vein thrombosis |
Superior mesenteric artery syndrome | Cast syndrome Wilkie syndrome |
Transverse duodenum | SMA and AA | Postprandial epigastric pain, weight loss, nausea, and vomiting |
Ureteropelvic junction obstruction | Ureteropelvic junction | Crossing renal artery or vein | Flank pain, pyelonephritis, hematuria | |
Retrocaval ureter | Proximal ureter | IVC and vertebral body | Flank pain, hematuria |
SMA, superior mesenteric artery; AA, abdominal aorta; CIV, common iliac vein; CIA, common iliac artery.