Nutcracker syndrome (NCS) refers to the compression of the left renal vein (LRV) between the aorta and the superior mesenteric artery. It can cause both microscopic and gross haematuria, with or without flank pain. The diagnosis is often delayed in a majority of symptomatic patients. On the other hand, the use of CT in routine abdominal explorations has increased the detection of the compression of the LRV in healthy and asymptomatic patients, but its diagnostic value remains uncertain. In this paper, we report 3 cases of the NCS associated with an increased blood flow in the LRV, due to different conditions, which we believe could produce the appearance of clinical symptoms.
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http://dx.doi.org/10.1159/000437000 | DOI Listing |
Indian Pediatr
January 2025
Department of Community Medicine, UCMS and GTB Hospital, Delhi, India.
Curr Probl Surg
January 2025
Prof. Zbigniew Religa Student Scientific Club at Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland.
Med J Armed Forces India
December 2024
Senior Advisor (Radiology), Command Hospital (Central Command), Lucknow, India.
QJM
December 2024
Department of Radiology, Medical Faculty, Kutahya Health Sciences University, Kutahya, Turkey.
Ultrasonography
December 2024
Professor Emeritus, Department of Radiology, Seoul National University Hospital, Seoul, Korea.
Nutcracker syndrome is caused by the compression of the left renal vein between the abdominal aorta and the superior mesenteric artery. The use of Doppler ultrasonography to diagnose this condition is challenging due to the dynamic nature of the nutcracker phenomenon and the variability of its symptoms, which can fluctuate with changes in patient posture and respiration. This review emphasizes the critical role of Doppler ultrasonography in identifying and managing nutcracker syndrome.
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