Aortomegaly Causing Nutcracker Syndrome and Pelvic Congestion Syndrome

Abstract The authors present an uncommon cause of pelvic congestion syndrome (PCS) secondary to anterior nutcracker syndrome, which was caused by aortomegaly. Positional flank and pelvic pain was the only presenting feature with no renal dysfunction. Early and significant decompression of left renal...

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Bibliographic Details
Published inJournal of clinical interventional radiology isvir Vol. 2; no. 3; pp. 197 - 200
Main Authors Rathod, Krantikumar, Sahu, Amit, Popat, Bhavesh, Deshmukh, Hemant
Format Journal Article
LanguageEnglish
Published A-12, Second Floor, Sector -2, NOIDA -201301, India Thieme Medical and Scientific Publishers Private Ltd 01.12.2018
Subjects
Case Report
nutcracker syndrome
aortomegaly
pelvic congestion syndrome
renal vein stenting
ovarian vein embolization
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Summary:Abstract The authors present an uncommon cause of pelvic congestion syndrome (PCS) secondary to anterior nutcracker syndrome, which was caused by aortomegaly. Positional flank and pelvic pain was the only presenting feature with no renal dysfunction. Early and significant decompression of left renal vein (LRV) via left ovarian vein resulted in preserved renal function with symptomatic pelvic varices. Endovascular management by left ovarian vein coiling and LRV stenting was done. They briefly review the etiopathology, imaging, treatment rationale, and management options for nutcracker and PCS.
ISSN:2456-4869
2456-4869
DOI:10.1055/s-0038-1675864