Surgically Treated Pelvic Pain Caused by Nutcracker Syndrome and Worsened by Cockett Syndrome in a Child

Emrecan, Bilgin; Taştan, Hayati; Tanrisever, Gökhan Yiğit; Şimşek, Şafak

doi:10.1016/j.avsg.2017.05.005

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Conservative treatment may be attempted for mild symptoms, while surgical intervention is indicated for severe cases with anemia, significant pain unresponsive to analgesics, or renal impairment [ 14 ]. Estrogens and anti-inflammatory drugs have been used in clinical trials with limited success [ 15 ]. Surgical options include left renal vein transposition, renal autotransplantation, and ligation of the ovarian vein and pelvic varicose veins [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Nutcracker Syndrome Revealed by Hematuria in a Young Woman: A Case Report and Literature Review

Majdi,

Miftah,

Janati

et al. 2024

Cureus

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Nutcracker syndrome is a rare condition that arises from the left renal vein getting compressed between the aorta and the superior mesenteric artery. Despite its clinical significance, this syndrome is often challenging to diagnose and is frequently overlooked. Its key clinical presentations include hematuria and pelvic or back pain. This condition involves elevated pressure on the left renal vein, leading to various signs and symptoms, with hematuria being a common manifestation. Herein, we report a 28-year-old woman with no medical history who presented with hematuria for two months. Abdominal CT revealed compression of the left renal vein between the superior mesenteric artery and abdominal aorta, with dilated left ovarian vein and pelvic varices, consistent with nutcracker syndrome.

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Section: Discussionmentioning

confidence: 99%

Nutcracker Syndrome Revealed by Hematuria in a Young Woman: A Case Report and Literature Review

Majdi,

Miftah,

Janati

et al. 2024

Cureus

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“…Endovascular interventional treatment of Cockett syndrome should be carried out according to the steps to prevent the occurrence of complications. Firstly, the Seldinger technique must be used to puncture the left femoral vein and successfully insert the catheter sheath 22 , then the guidewire was successfully passed through the diseased iliac vein and inserted into the inferior vena cava with the help of the vertebral artery catheter 23 , followed by the catheter. For patients with complete occlusion of iliac vein, the guidewire should be carefully delivered into the inferior vena cava under the guidance of Roadmap.…”

Section: Discussionmentioning

confidence: 99%

Mid-and long-term efficacy of endovascular-based procedures for Cockett syndrome

Liu

Zhou

2018

Sci Rep

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To investigate the mid- and long-term results of endovascular-based procedures for Cockett syndrome. The clinical data of 412 patients with Cockett syndrome treated between January 2003 and September 2017 were retrospectively analyzed. In these patients, 231 cases were acute left iliac femoral vein thrombosis (group A), and 181 cases were chronic venous insufficiency (group B), and different endovascular procedures and/or hybrid procedures were performed. In group A, the technique success rate was 100% (231/231); the left iliac vein in 5 patients showed no stenosis or occlusion, and the incidence of pathological changes in the left iliac vein was 97.8% (226/231); a total of 182 stents were implanted. In group B, the technique success rate was 99.4% (180/181); the average pressure difference between the proximal and distal portion of the pathological left iliac veins decreased from preoperative (18 ± 4.45) cmH2O to postoperative (4 ± 3.02) cmH2O (P < 0.01); 89 patients, complicated with valvular incompetence in the left superficial femoral vein, underwent a second-stage femoral valve repair. Follow-up ranged from 3 months to 8 years, with an average of 35.6 months, and intrastent thrombosis occurred in 15 cases of group A and in 2 cases of group B. Endovascular-based procedures offer favorable mid- and long-term results in treatment of Cockett syndrome, which in combination with Fogarty catheter thrombectomy or catheter-directed thrombolysis is a beneficial complementary treatment for patients with acute iliac femoral vein thrombosis.

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Nutcracker syndrome in children: Appearance, diagnostics, and treatment - A systematic review

Meyer¹,

Rother²,

Stehr³

et al. 2022

Journal of Pediatric Surgery

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Surgically Treated Pelvic Pain Caused by Nutcracker Syndrome and Worsened by Cockett Syndrome in a Child

Cited by 3 publications

References 7 publications

Nutcracker Syndrome Revealed by Hematuria in a Young Woman: A Case Report and Literature Review

Nutcracker Syndrome Revealed by Hematuria in a Young Woman: A Case Report and Literature Review

Mid-and long-term efficacy of endovascular-based procedures for Cockett syndrome

Nutcracker syndrome in children: Appearance, diagnostics, and treatment - A systematic review

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