The posterior “nutcracker”: Hematuria secondary to retroaortic left renal vein

Lau, James L.T.; Lo, Richard Hoau Gong; Chan, F. L.; Wong, Kah Keng

doi:10.1016/0090-4295(86)90085-3

Cited by 66 publications

(39 citation statements)

References 8 publications

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“…Nutcracker syndrome describes signs and symptoms related to renal venous hypertension secondary to aortomesenteric compression. A less commonly seen "posterior nutcracker syndrome" has also been described in patients with similar symptoms caused by a retroaortic renal vein being compressed between the aorta and vertebral column (22). Rarely cases of combined anterior and posterior nutcracker syndrome have been described in patients with a circumaortic LRV (23).…”

Section: Nutcracker Syndromementioning

confidence: 95%

“…DSV accurately demonstrates the LRV at the point of compression and may show secondary signs of compression such as perirenal or periureteral collateral vessels, stagnation of contrast in the renal vein, and reflux of contrast into the adrenal or gonadal veins (22,23). A pressure gradient between the LRV and the inferior vena cava (IVC) measuring greater than 3 mmHg has historically been used for confirmatory diagnosis of nutcracker syndrome (2,23,25).…”

Section: Nutcracker Syndromementioning

confidence: 99%

See 1 more Smart Citation

Minimally invasive treatments for venous compression syndromes

Hulsberg

McLoney

Partovi

et al. 2016

Cardiovasc. Diagn. Ther.

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The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods.We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment.

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Section: Nutcracker Syndromementioning

confidence: 95%

Section: Nutcracker Syndromementioning

confidence: 99%

Minimally invasive treatments for venous compression syndromes

Hulsberg

McLoney

Partovi

et al. 2016

Cardiovasc. Diagn. Ther.

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“…Two patients in the present study had anterior NCS; one of them experienced left lower quadrant pain, and the other one abdominal pain. The term "posterior NCP" refers to the left renal venous hypertension secondary to the compression of the retroaortic LRV, which crosses between the aorta and the vertebral column (20).…”

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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“…This syndrome has also been reported in association with retroaortic course of the left renal vein between the aorta and the vertebral column and has been termed as posterior NCS [2]. We report the ultrasound (US) and multidetector computed tomography (MDCT) findings in a 14-year-old girl with posterior NCS.…”

Section: Introductionmentioning

confidence: 96%

US and MDCT Diagnosis of a Rare Cause of Haematuria in Children: Posterior Nutcracker Syndrome

Özel

Tufaner

Kaya

et al. 2011

Ultrasound in Medicine & Biology

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KEYWORDSNutcracker syndrome; Ultrasound; Doppler; MDCT.Abstract Posterior nutcracker syndrome is caused by compression of the left renal vein between the abdominal aorta and the vertebral column. We present the case of a 14-yearold girl with vague left loin pain, mild haematuria and proteinuria. Diagnosis of this rare syndrome was achieved using color Doppler US and multidetector computed tomography (MDCT) angiography.Sommario La sindrome da schiaccianoci posteriore è dovuta alla compressione della vena renale sinistra tra l'aorta addominale e la colonna vertebrale. Viene presentato il caso di una ragazza di 14 anni con lombalgia sinistra, lieve ematuria e proteinuria, in cui la diagnosi di questa rara sindrome è stata ottenuta con Eco-color Doppler e con l'Angio-TC. ª

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The posterior “nutcracker”: Hematuria secondary to retroaortic left renal vein

Cited by 66 publications

References 8 publications

Minimally invasive treatments for venous compression syndromes

Minimally invasive treatments for venous compression syndromes

Nutcracker syndrome with different clinical presentations in a young male population

US and MDCT Diagnosis of a Rare Cause of Haematuria in Children: Posterior Nutcracker Syndrome

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