AI Article Synopsis

  • Nutcracker syndrome is a rare condition where the left renal vein is compressed, leading to blood clot formation, particularly manifesting as isolated left renal vein thrombosis, often after trauma.
  • A case study is presented of a 24-year-old woman with multiple injuries and pre-existing conditions, who developed this thrombosis after being admitted for spinal surgery.
  • The findings suggest that individuals with a low body mass index and blood clotting disorders are at higher risk for developing left renal vein thrombosis connected to nutcracker syndrome.

Article Abstract

Background: Nutcracker syndrome is a compression of the left renal vein between the superior mesenteric artery and aorta, resulting in thrombogenesis. While renal vein thrombosis caused by renal disease is more common, solitary left renal vein thrombosis with nutcracker syndrome is rare.

Case Presentation: We present the case of a patient with trauma-associated left renal vein thrombosis with nutcracker syndrome. A 24-year-old woman with low body mass index taking oral contraceptives was admitted for trauma. She had multiple injuries, including thoracolumbar fractures, for which elective spinal fusion surgery was scheduled. As the D-dimer level elevated to 82.5 μg/dL preoperatively, enhanced computed tomography was performed, which revealed a solitary left renal vein thrombus.

Conclusion: This is the report of solitary left renal vein thrombosis in a patient with nutcracker syndrome after trauma. Patients with low body mass index and coagulopathy might have solitary left renal vein thrombosis associated with nutcracker syndrome.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111633PMC
http://dx.doi.org/10.1002/ams2.838DOI Listing

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