Radiology case reports
Nutcracker syndrome with pelvic congestion syndrome: A case report
By Sah D, Pandey A and Rijal S.
Abstract
Nutcracker syndrome is a rare clinical entity characterized by external compression of left renal vein (LRV) disturbing the outflow of blood into inferior venacava. We present a case of a 35-year-old female who presented to gynecology outpatient department (OPD) with abdominal pain of right lower quadrant initially which later shifted to left flank associated with dysmenorrhea. Laboratory investigations revealed microscopic hematuria and anemia. Imaging with computed tomography revealed decreased aorto-mesenteric angle with dilatation of left renal vein, left ovarian vein, pelvic veins on left side and cross collateral venous dilatation on right side of pelvis suggesting nutcracker morphology leading to pelvic congestion syndrome. This case demonstrates atypical clinical presentation of NCS with shifting pain.
Keywords
- Renal nutcracker phenomenon
- Renal nutcracker syndrome
- Renal vein entrapment syndrome
Source
Published in Radiology case reports. The abstract is shown as published and remains the work of its authors; read the full article at the source.
Prognia lists this article for reference and education. It is not medical advice. Always read the original and follow current guidelines and local protocols before acting on it.
