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Nutcracker syndrome

Azar Nickavar
No abstract text is available yet for this article.
October 2016: Journal of Nephropathology
Leandro Cardarelli-Leite, Fernanda Garozzo Velloni, Priscila Silveira Salvadori, Marcelo Delboni Lemos, Giuseppe D'Ippolito
Abdominal vascular syndromes are rare diseases. Although such syndromes vary widely in terms of symptoms and etiologies, certain imaging findings are characteristic. Depending on their etiology, they can be categorized as congenital-including blue rubber bleb nevus syndrome, Klippel-Trenaunay syndrome, and hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome)-or compressive-including "nutcracker" syndrome, median arcuate ligament syndrome, Cockett syndrome (also known as May-Thurner syndrome), and superior mesenteric artery syndrome...
July 2016: Radiologia Brasileira
Fernando Korkes, Marcel Silveira, Oseas Castro Neves-Neto, Luiz Franco Brandão, Marcos Tobias-Machado, Nelson Wolosker, Felipe Nasser, Alexandre Maurano
Nutcracker syndrome refers to the complex of clinical symptoms caused by the compression of the left renal vein (LRV) between the abdominal aorta and the superior mesenteric artery, leading to stenosis of the aortomesenteric portion of the LRV and dilatation of the distal portion. Hematuria, proteinuria, flank pain, varicocele and pelvic congestion may occur, occurring more frequently in young adults. Conservative management, might be the option whenever it is possible. When surgical treatment is required, classically open surgery have been performed, with major surgeries as LRV transposition or bypass techniques...
September 20, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Taieb Jomni, Mouna Larguech, Imene Abdelaali, Mehdi Charfi, Mohamed Hédi Dougui
No abstract text is available yet for this article.
February 2016: La Tunisie Médicale
Christina Jeanneret, Konstantin Beier, Alexander von Weymarn, Jürg Traber
Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months...
2016: VASA. Zeitschrift Für Gefässkrankheiten
Carmen Rocío Sierra Labarta, David Ibáñez Muñoz, Daniel Sánchez Zalabardo, Álvaro de Pablo Cárdenas, José Ángel Cuesta Alcalá
No abstract text is available yet for this article.
May 2016: Archivos Españoles de Urología
M Huesa Andrade, M González Lavandeira
No abstract text is available yet for this article.
June 22, 2016: Semergen
Aleksandra Policha, Patrick Lamparello, Mikel Sadek, Todd Berland, Thomas Maldonado
OBJECTIVES: Nutcracker syndrome, or mesoaortic compression of the left renal vein (LRV), with associated symptoms related to venous hypertension in the left kidney, is a rare entity that may result in severe symptoms requiring operative intervention. We report on three patients who presented with nutcracker syndrome, including one patient with a circumaortic LRV resulting in posterior nutcracker syndrome, who underwent successful endovascular treatment with renal vein stenting. A review of existing literature on endovascular management of nutcracker syndrome follows...
June 16, 2016: Annals of Vascular Surgery
Jovan Markovic, Cynthia Shortell
In this report we describe a patient with anterior renal nutcracker syndrome caused by extrinsic compression of the left-sided inferior vena cava between the aorta and the superior mesenteric artery, as it crossed the midline, with resultant left renal vein hypertension. The patient was successfully treated by transposition of the right ovarian vein, which created a bypass of the compressed inferior vena cava and resulted in complete resolution of symptoms.
July 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Seong Jong Yun, Jung Min Lee, Deok Ho Nam, Jung Kyu Ryu, Sun Hwa Lee
PURPOSE: To retrospectively evaluate the ability of computed tomographic (CT) findings to discriminate nutcracker syndrome (NCS) from asymptomatic nutcracker phenomenon (NCP) and to investigate the diagnostic value of CT findings in diagnosis of NCS. METHODS: From January 2014 to April 2015, 216 patients who underwent initial urographic CT were included. Initially, 216 patients were categorized as "nutcracker" or "normal," based on the following CT criteria: (1) the presence of beak sign and (2) hilar-aortomesenteric left renal vein diameter ratio >4...
August 2016: Abdominal Radiology
Naman Barman, Michael Palese
We report the case of a 30-year-old male patient undergoing a robotic-assisted laparoscopic left donor nephrectomy, where compression of the left renal vein between the superior mesenteric artery and aorta was noted on magnetic resonance angiography before the operation. The patient was diagnosed with nutcracker phenomenon and was noted to be asymptomatic at that time. This is the first reported case to date of a patient with nutcracker phenomenon who underwent a robotic-assisted laparoscopic donor nephrectomy...
May 17, 2016: Experimental and Clinical Transplantation
Sevgi Yavuz, Aydin Ece, Mahmut Corapli, Cigdem Ilter, Rufat Guven
The nutcracker syndrome refers to compression of left renal vein between the superior mesenteric artery and aorta. Renal abscess consists of purulent and necrotic material localised to the renal parenchyma. These two entities are extremely rare and their coincidence has not previously been described in literature. Here, we report a case of a 10-year-old girl who developed left renal abscess probably due to nutcracker syndrome.
April 2016: JPMA. the Journal of the Pakistan Medical Association
Mehmet B Özkan, Meltem Ceyhan Bilgici, Emre Hayalioglu
The left renal vein (LRV) has many developmental variations; the two most common are the circumaortic and the retrocaval. Anterior nutcracker syndrome is the compression of the LRV between the aorta and superior mesenteric artery, whereas posterior nutcracker syndrome occurs between the vertebral column and the aorta. An adolescent male (aged 16 years) was referred to the emergency department for flank pain. CT findings showed the combination of anterior and posterior nutcracker syndrome in the left circumaortic renal vein, which has not previously been described in an adolescent...
April 2016: Archivos Argentinos de Pediatría
Ricardo de Alvarenga Yoshida, Winston Bonetti Yoshida, Renato Fanchiotti Costa, Marcelo Souto Nacif, Marcone Lima Sobreira, Rodrigo Gibin Jaldin
Duplicated inferior vena cava is a rare anomaly, and thrombosis in one or both segments is even less frequent. We present a case of deep venous thrombosis of the left lower limb involving the popliteal, femoral, and iliac veins as well as the left segment of the duplicated vena cava and nutcracker syndrome. After catheter-directed thrombolysis complemented by mechanical thrombolysis, the compromised veins had complete revascularization; the nutcracker syndrome was treated with stent placement, followed by the use of anticoagulants...
April 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Ziheng Wu, Xiangtao Zheng, Yangyan He, Xin Fang, Donglin Li, Lu Tian, Hongkun Zhang
OBJECTIVE: In this study, we sought to investigate the incidence of stent migration after endovascular stenting (EVS) in patients with nutcracker syndrome (NCS) and to discuss the related factors. METHODS: We retrospectively evaluated the data of all patients with NCS who were treated by EVS at our single center between January 2004 and October 2014. Data collection included details on clinical findings, radiologic evaluation, laboratory values, EVS procedure, stent size, and morbidity of stent migration...
April 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Young Erben, Peter Gloviczki, Manju Kalra, Haraldur Bjarnason, Nanette R Reed, Audra A Duncan, Gustavo S Oderich, Thomas C Bower
OBJECTIVE: Nutcracker syndrome (NS) is a rare cause of hematuria, flank pain, and renal venous hypertension due to compression of the left renal vein (LRV) between the aorta and the superior mesenteric artery. To evaluate outcomes of open surgery and endovascular interventions, we reviewed our experience. METHODS: A retrospective review of clinical data of all patients treated at our institution with an intervention for NS between January 1, 1994, and February 28, 2014, was performed...
October 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
John V White, Connie Ryjewski, Richard N Messersmith, Fabio Sbrana, Lewis B Schwartz
Nutcracker syndrome represents the constellation of symptoms caused by extrinsic compression of the left renal vein between the aorta and superior mesenteric artery, producing left renal venous outflow obstruction and, frequently, pelvic venous congestion. When severe, the syndrome is most commonly treated by surgical transposition of the left renal vein onto the inferior vena cava or by renal venous stent placement. Each of these treatment modalities is associated with significant immediate and long-term risks...
January 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Serkan Burc Deser, Kadir Onem, Mustafa Kemal Demirag, Recep Buyukalpelli
Posterior nutcracker syndrome is caused by the compression of left renal vein between the abdominal aorta and the vertebral body. Most seen symptoms are haematuria, left flank pain, abdominal pain and varicocele. The nutcracker syndrome may lead to left renal vein thrombosis due to blood congestion within compression of the vessel. Both endovascular and open surgical interventions can relieve symptoms; however, traditional surgical repair is still considered as the gold standard. Here, we present the surgical treatment of a 36-year old female with complaints of hypertension, hyperaldosteronism and diagnosed with posterior nutcracker syndrome...
May 2016: Interactive Cardiovascular and Thoracic Surgery
Eun Sil Koh, Min Young Kim, Yoon Sik Chang, Sungjin Chung
No abstract text is available yet for this article.
December 2015: Kidney Research and Clinical Practice
Igor Gunka, Pavel Navratil, Michal Lesko, Stanislav Jiska, Jan Raupach
The left renal vein (LRV) reimplantation into the distal inferior vena cava is considered to be the gold standard of care for symptomatic nutcracker syndrome (NCS). The vast majority of these surgical procedures are performed by open surgery. Experiences with minimally invasive laparoscopic surgery in this field are very limited. We present a case of a 17-year-old boy with NCS in whom the transposition of the LRV was done laparoscopically. The patient suffered from left flank pain, painful left-sided varicocele, microscopic hematuria, proteinuria, and oligoasthenospermia...
February 2016: Annals of Vascular Surgery
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