# Triple Abdominal Vascular Compression in a Young Woman: A Case Report of the Simultaneous Presentation of Superior Mesenteric Artery, Nutcracker, and May-Thurner Syndromes

## TL;DR

A young woman presented with rare simultaneous vascular compression syndromes causing digestive symptoms, diagnosed via imaging and managed with conservative treatment.

## Contribution

This case report documents the rare coexistence of three vascular compression syndromes in a single patient.

## Key findings

- The patient had superior mesenteric artery, nutcracker, and May-Thurner syndromes confirmed by angiotomography.
- Symptoms improved partially with a nutritional approach and clinical follow-up.
- The case emphasizes the importance of advanced imaging for diagnosing complex vascular disorders.

## Abstract

Multiple vascular compression of the abdomen is a rare condition characterized by the coexistence of anatomically independent but clinically related syndromes. This report presents the case of a young woman with chronic digestive symptoms, food intolerance, significant unintentional weight loss, and postprandial vomiting, in whom the presence of superior mesenteric artery syndrome (Wilkie syndrome), nutcracker syndrome, and May-Thurner syndrome was confirmed by angiotomography. The combination of findings represents an exceptional form, with overlapping manifestations that make early recognition difficult. Management was conservative, with a nutritional approach and clinical follow-up achieving a partial improvement of symptoms. This case highlights the need to consider uncommon vascular diagnoses in patients with persistent abdominal pain, especially when indirect clinical signs are present and emphasizes the value of advanced imaging studies in the diagnosis of vascular disorders.