A young female presented to the emergency department following a motor vehicle collision. She complained of left flank pain and was found to have haematuria. After investigation no trauma related injuries were identified. However, an incidental finding of nutcracker phenomenon/syndrome was made. Nutcracker phenomenon is a rare cause of haematuria resulting from nontraumatic compression of the l...

BACKGROUND Celiacomesenteric trunk (CMT) is a very rare anatomic finding in which the celiac artery and the superior mesenteric artery (SMA) originate from the abdominal aorta through a common trunk. Clinical associations with CMT include arterial aneurysm, thrombosis, and celiac artery compression. However, an association between CMT and abdominal venous congestion caused by left renal vein co...

Nutcracker syndrome is an extrinsic compression of the left renal vein by superior mesenteric artery anteriorly and aorta posteriorly resulting in hallmark manifestations hematuria, proteinuria, flank/pelvic pain. This case illustrates a patient with history flank pain intermittent gross hematuria every 2 weeks. The denies any pelvic pain, gastrointestinal or lower extremity symptoms. Urinalysi...

Various anatomic anomalies have been considered the causes of nutcracker syndrome (NCS). Posterior NCS refers to the condition, in which vascular narrowing was secondary to the compression of the retroaortic left renal vein while it is crossing between the aorta and the vertebral column. Here, we report an unusual case of posterior NCS associated with a complicated malformation of the interrupt...

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 ...

A surgically treated case of the nutcracker phenomenon is reported. Severe left flank pain and gross hematuria were relieved by direct renocaval reimplantation. We proposed the diagnostic criteria of the nutcracker phenomenon causing severe flank pain and/or renal hematuria.

Nutcracker syndrome (NCS) is the most common term for compression of the left renal vein between the superior mesenteric artery and the abdominal aorta. The development of NCS is associated with the formation of the left renal vein (LRV) from the aortic collar during the sixth to eighth week of gestation and abnormal angulation of the superior mesenteric artery from the aorta. Collateralization...