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| http://dx.doi.org/10.1016/j.krcp.2015.10.001 | DOI Listing |
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An Incidental Finding of Posterior Nutcracker Syndrome: A Case Report.
Cureus
October 2024
Radiology, Osmania Medical College, Hyderabad, IND.
Posterior nutcracker syndrome (PNCS) is a rare vascular disorder involving the compression of the retro-aortic left renal vein between the aorta and the vertebral column. It often presents with left flank pain, hematuria, and varicocele. We report the case of a 39-year-old male who presented with diffuse abdominal pain, acute urinary retention, and left flank pain.
View Article and Find Full Text PDFWeight loss as a potential trigger for nutcracker syndrome after a complex surgery: About a case report.
Int J Surg Case Rep
October 2024
Pathology Department, University Hospital Mongi Slim, La Marsa, Tunisia.
Article Synopsis
- - Nutcracker syndrome occurs when the left renal vein is compressed between the aorta and superior mesenteric artery, often seen in patients who have lost significant weight; this case reports a rare instance following complex biliary surgery.
- - A 32-year-old patient with a history of laparoscopic cholecystectomy developed persistent low back pain, and a CT scan revealed nutcracker syndrome due to weight loss that reduced the aorto-mesenteric angle; anticoagulant treatment resulted in improvement.
- - The syndrome has three types categorized by the angle of compression, and significant weight loss can worsen the condition; conservative management is effective in most cases, with 60-80% of patients seeing symptom resolution.
A unique posterior nutcracker syndrome combined with Wilkie syndrome: A singular case.
Radiol Case Rep
August 2024
Radiology Unit 1, Department of Medical Surgical Sciences and Advanced Technologies "GF Ingrassia", University Hospital Policlinico "G. Rodolico-San Marco", University of Catania, 95123 Catania, Italy.
Left renal vein variants are not commonly observed in the general population. Usually, the renal vein runs in front of the aorta before entering the inferior vena cava, while the most common variants include the presence of a circumaortic or retroaortic renal vein. However, when present, left venal rein variants are important to recognize due to their potential clinical and surgical relevance.
View Article and Find Full Text PDFCesarean hysterectomy for placenta accreta spectrum: 3-2-1 approach.
Gynecol Oncol Rep
June 2024
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, USA.
Article Synopsis
- The 3-2-1 approach is a surgical method proposed to manage cesarean hysterectomy for placenta accreta spectrum (PAS) with the goal of reducing complications and improving outcomes.
- It involves three main steps: first, identifying three anatomical landmarks to create a safe surgical site; second, utilizing a two-hand technique to gently elevate the uterus and placenta; and third, considering a supracervical hysterectomy to better handle the situation.
- The overall aim is to enhance safety and efficiency during surgery by following this structured approach.
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