Nutcracker phenomenon is a rare vascular disorder in which the left renal vein is
compressed by the superior mesenteric artery (SMA) and abdominal aorta, accompanied
by distention of the distal portion of the vein. The phenomenon is typically caused
by a decreased aortomesenteric space due to weight loss or, rarely, external compression
by various etiologies. Clinical manifestations are related to impaired blood outflow
and are frequently nonspecific. Diagnosis can be difficult due to its rarity and lack
of awareness of physicians. The management of nutcracker syndrome (NCS) remains controversial
at present. We report a 16-year-old girl who presented with left abdominal pain and
was finally diagnosed with NCS.
Keywords
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References
- Wilkie's syndrome as a rare cause of duodenal obstruction: perspicacity is in the radiological details.Cureus. 2020; 12: e10467
- Nutcracker syndrome: an update on current diagnostic criteria and management guidelines.Eur J Vasc Endovasc Surg. 2017; 53: 886-894
- Degree of left renal vein compression predicts nutcracker syndrome.J Clin Med. 2018; 7: 107
- Mesoaortic compression of the left renal vein (nutcracker syndrome): case reports and review of the literature.Ann Vasc Surg. 2006; 20: 120-129
Article info
Publication history
Published online: July 21, 2022
Accepted:
July 9,
2022
Received in revised form:
June 20,
2022
Received:
April 15,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
