Nutcracker syndrome in adolescent with perineal pain

Nutcracker phenomenon is the descriptor for a patient's anatomy whenever the left renal vein becomes compressed between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome is the terminology used when the nutcracker phenomenon is accompanied by symptoms including pain (a...

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Published inRadiology case reports Vol. 13; no. 1; pp. 161 - 166
Main Authors Boyer, Kathleen, Filan, Eamon, Ching, Brian, Rooks, Veronica, Kellicut, Dwight
Format Journal Article
LanguageEnglish
Published Elsevier 01.02.2018
Subjects
Nutcracker syndrome
Pediatric
Pelvic congestion syndrome
Pelvic pain
Sclerotherapy
Venoplasty
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Summary:Nutcracker phenomenon is the descriptor for a patient's anatomy whenever the left renal vein becomes compressed between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome is the terminology used when the nutcracker phenomenon is accompanied by symptoms including pain (abdominal, flank, pelvic), hematuria, and orthostatic proteinuria. Diagnosis can be made with Doppler ultrasound, venography, computed tomography, or magnetic resonance imaging. This case demonstrates some of the typical findings of nutcracker syndrome. The limited clinical features and interesting imaging findings, in addition to the young age of the patient, make this a notable case.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2017.09.023