Unusual clinical manifestations of the Nutcracker Syndrome

Little, Andrew F.; Lavoipierre, Alain M.

doi:10.1046/j.1440-1673.2001.01037.x

Cited by 34 publications

(22 citation statements)

References 8 publications

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“…Similarly, compression of the left renal vein can cause left renal-to-gonadal vein reflux, resulting in lower limb varices and varicoceles in males (9). When getting a detailed history, our patientsexperienced symptoms suggestive of pelvic congestion syndrome.…”

Section: Discussionmentioning

confidence: 78%

A Misdiagnosed Patient with Recurrent Abdominal Pain: Nutcracker Syndrome

Kaykısız¹,

Sarp²,

Güven³

2017

EAJEM

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Section: Discussionmentioning

confidence: 78%

A Misdiagnosed Patient with Recurrent Abdominal Pain: Nutcracker Syndrome

Kaykısız¹,

Sarp²,

Güven³

2017

EAJEM

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“…The high pressure of the LRV congests intrarenal vessels to rupture the weak veins of the calyceal fornix and the collecting system. In rare cases, anemia, proteinuria, and varicose veins occur (17). The anterior nutcracker syndrome results from compression as the LRV passes between the SMA and the aorta and is, in general, followed by the subsequent development of venous varicosities of the renal pelvis, ureter, and the gonadal vein.…”

Section: Discussionmentioning

confidence: 99%

Nutcracker syndrome with different clinical presentations in a young male population

Albuz¹,

Akkurt²,

Okçelik³

et al. 2018

Med J Islamic World Acad Sci

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SUMMARYThe nutcracker syndrome (NCS) depends on mesoaortic compression of the left renal vein. It has different clinical entities. This study aimed to examine different clinical aspects of NCS.This was a retrospective and descriptively designed study. The patients with abdominal pain, flank pain, or scrotal pain admitted to the Urology and General Surgery outpatient clinic between January 2014 and May 2016 were reviewed. All data were examined descriptively. Urologic and general surgical examinations were performed individually by a urologist and a general surgeon. The abdominal ultrasonography and computed tomography findings, blood pressure, white blood cell count, bilirubin tests, and urine tests were recorded.Patients with inconsistent diagnostic data or missing outcomes were excluded. Five patients were diagnosed with NCS on scanning 134 patients. The mean age was 24 years (20-33 years). The first patient had left lower quadrant pain. The second patient also had left lower quadrant pain with microscopic hematuria and a mild increase in the total bilirubin level (1.84 mg/dL). The third patient presented left testicular pain and hypertension (160/100 mm Hg). Consequently, left side varicocele was found on physical examination and Doppler ultrasound. The fourth patient had leukocytosis (11,900), a mild increase in total bilirubin level (1.73 mg/dL), and left and right lower quadrant pain.The radiological and laboratory entities must be taken into consideration with clinical findings for correct diagnosis because NCS may have different symptoms.

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“…Le diagnostic doit être suspecté chez un patient présentant des lombalgies et une hématurie. Le diagnostic différentiel est la crise de colique néphrétique [4]. Devant une forte suspicion clinique, notamment à l'analyse d'urines, un échodoppler rénal veineux montrant une dilatation de la veine rénale en amont de la compression associée à une vitesse circulatoire plus faible dans cette partie permet de confirmer le diagnostic.…”

Section: Discussionunclassified