Nutcracker syndrome, conservative approach: a case report

Muheilan, Muheilan; Walsh, Anna; O'Brien, Frank; Tuite, David

doi:10.1093/jscr/rjac423

Cited by 2 publications

(3 citation statements)

References 9 publications

(10 reference statements)

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“…Endovascular stent placement is the most common and rst choice [9,11]. Open, laparoscopic and robotic, LRV repositioning and renal auto-transplantation are other surgical treatments [2,6,14]. We are conservatively following our patient, who does not have any serious symptoms.…”

Section: Discussionmentioning

confidence: 97%

“…In these evaluations, when malignancies, stones, arteriovenous malformations are excluded and NCS is considered, it is recommended to rst perform RDU, which has a sensitivity and speci city of 69-90% and 89-100%, respectively, due to its non-invasive nature [1,3,6,14]. CT and magnetic resonance imaging (MRI) are useful because they provide simultaneous condition of surrounding tissues and anatomical correlation.…”

Section: Discussionmentioning

confidence: 99%

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Nutcracker syndrome: First case causing left renal intraparenchymal varicose veins

Uğur,

Şimşek

2024

Preprint

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Purpose Our aim in this case is to report a new finding regarding Nutcracker syndrome (NCS), which is a variation of the left renal vein. Methods We present a very rare anatomical variant of the left renal vein(LRV), with a preliminary diagnosis made by ultrasound and NCS as a differential diagnosis with computed tomography (CT) and diagnostic CT angiography. Results The patient in our case was a 30-year-old woman with chronic abdominal and flank pain and increased sensitivity in the flank area. Neither hematuria nor proteinuria was detected in the urinalysis. Contrast-enhanced computed tomography(CT) showed that there were two separate LRVs draining the lower and upper poles. It was observed that the vein draining the lower pole narrowed significantly between superior mesenteric artery and abdominal aorta and then continued to widen. This view showed that we were faced with a typical NCS. What made our case different and unique from typical NCS was that it had renal intraparenchymal varicose veins. Treatment of NCS includes open, laparoscopic and robotic surgical repair and endovascular/extravascular stent placement. Treatment of symptomatic NCS includes open, laparoscopic, and robotic surgical repair and endovascular/extravascular stent placement. Except for the presence of hematuria causing severe anemia, deterioration in kidney functions and serious pain, patients are followed conservatively, and our patient is also followed conservatively. Conclusion This case we present is the first case accompanied by renal parenchymal varices in the literature.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Nutcracker syndrome: First case causing left renal intraparenchymal varicose veins

Uğur,

Şimşek

2024

Preprint

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“…50 Nutcracker syndrome is an obstruction of the left renal vein between the aorta and superior mesenteric artery. 51 The 'atypical' form of nutcracker syndrome presents with fatigue, orthostatic intolerance, and dysmenorrhea and dyspareunia in women. 51 Further research is needed to assess whether surgical intervention in these congestive disorders improves POTS symptoms in these patients.…”

Section: Pelvic Congestion Disordermentioning

confidence: 99%

Narrative Review of Postural Orthostatic Tachycardia Syndrome: Associated Conditions and Management Strategies

Steinberg,

Dicken,

Cutchins

2023

US Cardiol

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Postural orthostatic tachycardia syndrome (POTS) is a heterogeneous disorder that presents with positional tachycardia and a constellation of other symptoms. Peer-reviewed evidence for treatment options is limited. In addition, there are various associated conditions with overlapping symptoms. These factors can make the diagnosis and management of POTS a frustrating experience for both providers and patients. This paper aims to combine available scientific data with anecdotal evidence derived from extensive clinical experience to provide information on recognizing the clinical features of POTS, identifying associated conditions, and understanding treatment strategies to help providers better diagnose and manage patients with this condition.

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Nutcracker syndrome, conservative approach: a case report

Cited by 2 publications

References 9 publications

Nutcracker syndrome: First case causing left renal intraparenchymal varicose veins

Nutcracker syndrome: First case causing left renal intraparenchymal varicose veins

Narrative Review of Postural Orthostatic Tachycardia Syndrome: Associated Conditions and Management Strategies

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