Nutcracker syndrome: a case-based review

The nutcracker phenomenon, also known as left renal vein entrapment, occurs when there is extrinsic compression of the left renal vein, most often between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome refers to the constellation of clinical symptoms that may arise from...

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Bibliographic Details
Published inAnnals of the Royal College of Surgeons of England Vol. 106; no. 5; pp. 396 - 400
Main Authors Maharaj, D, Mohammed, S R, Caesar, K, Dindyal, S
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.05.2024
Royal College of Surgeons
Subjects
Abdomen
Adult
Catheters
Compression therapy
Coronary vessels
Endovascular Procedures - methods
Flank Pain - etiology
Hematuria
Hematuria - etiology
Humans
Hypertension
Magnetic resonance imaging
Male
Ovaries
Pain
Patients
Renal Nutcracker Syndrome - complications
Renal Nutcracker Syndrome - diagnosis
Renal Nutcracker Syndrome - diagnostic imaging
Renal Nutcracker Syndrome - surgery
Renal Veins - diagnostic imaging
Review
Stents
Tomography
Ultrasonic imaging
Urine
Veins & arteries
United States > US
Nutcracker syndrome
Endovascular
Review
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Summary:The nutcracker phenomenon, also known as left renal vein entrapment, occurs when there is extrinsic compression of the left renal vein, most often between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome refers to the constellation of clinical symptoms that may arise from the nutcracker phenomenon, typically inclusive of haematuria, flank/pelvic pain, orthostatic proteinuria and (in male patients) varicocele. We provide a short review of the nutcracker syndrome including various diagnostic and therapeutic modalities. We utilise our own experience with a patient as a case study and highlight the modern management option of endovascular stenting.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Review-5
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ObjectType-Case Study-4
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ObjectType-Report-3
ISSN:0035-8843
1478-7083
1478-7083
DOI:10.1308/rcsann.2023.0090