The nutcracker syndrome is a rare clinical manifestation of symptoms caused by the compression of the left renal vein by an overriding superior mesenteric artery, an anatomical variant otherwise known as the nutcracker phenomenon. Usually present in women and children, when symptomatic, it commonly presents with hematuria, proteinuria, and chronic pelvic pain. Effective modalities of treatment ...

APRIL 2010 I ENDOVASCULAR TODAY I 25 E ntrapment of the left renal vein (LRV) between the abdominal aorta and superior mesenteric artery (SMA) causing the classic clinical triad of hematuria, varicocele, and left abdominal or flank pain was first described in 1950.1 Later, this array of symptoms was termed “the nutcracker syndrome” by De Schepper in 1972.2 Endovascular technology has evolved as...

IgA nephropathy is the most common cause of idiopathic glomerulonephritis in the developed world. Although this disorder was initially thought to follow a benign course, it is now recognized that slow progression to end-stage renal disease occurs in up to 50% of affected patients. The two major clinical presentations of IgA nephropathy are gross hematuria and persistent asymptomatic microscopic...

Nutcracker syndrome occurs when the left renal vein (LRV) is compressed between the superior mesenteric artery and the aorta, and this syndrome is often characterized by venous hypertension and related pathologies. However, invasive studies such as phlebography and measuring the reno-caval pressure gradient should be performed to identify venous hypertension. Here we present a case of Nutcracke...

BACKGROUND Nutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal invasive procedures. Stents in the renal vein can cause fibromuscular hyperplasia, proximal migrat...

Superior mesenteric artery (SMA) syndrome is a rare cause of gastrointestinal obstruction, caused by external compression of the third part of the duodenum by the SMA. It may be associated with the Nutcracker phenomenon: external compression of the left renal vein. To our knowledge, there are few reports in the literature describing the coexistence of these two conditions and so we take this op...

INTRODUCTION Superior mesenteric artery syndrome is an uncommon cause of duodenal obstruction, and its manifestations are generally associated with compression on the third part of the duodenum between the abdominal aorta and superior mesenteric artery. CASE PRESENTATION In this report, a patient is described presenting with epigastric pain and weight loss due to superior mesenteric artery sy...

* Corresponding author. Division of Nephrology, The Catholic University of 07345, Korea. E-mail address: [email protected] (S Chung). http://dx.doi.org/10.1016/j.krcp.2015.10.001 2211-9132/Copyright © 2015. The Korean Society of Nephrology. Published license (http://creativecommons.org/licenses/by-nc-nd/4.0/). pale appearance. Laboratory investigations revealed the hemoglobin and hemato...

Background: The nutcracker syndrome represents a clinical condition caused by compression of the left renal vein (LRV) between the superior mesenteric artery (SMA) and the aorta. One of its manifestations is left-sided varicocele. The aim of this study is to determine the prevalence of nutcracker syndrome in patients with primary and recurrent high grade left-sided varicocele. Methods: Fifty pa...