2012Surgical and Radiologic AnatomyOpen access

An unusual case of left venous renal entrapment syndrome: a new type of nutcracker phenomenon?

Michał Polguj, Mirosław Topol, Agata Majos

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Abstract

Left venous renal entrapment syndrome was observed during multidetector 64-row computer tomography and color Doppler ultrasonography in a 58-year-old Caucasian female hospitalized due to choledocholithiasis. The patient demonstrated no typical symptoms of nutcracker syndrome. The left renal vein (LRV) was compressed as it passed between the superior mesenteric artery and the right renal artery. The LRV lumen measured 1.7 × 7.8 mm (width × height) at the point of narrowing and 7.5 × 17 mm before this. Secondary to the nutcracker phenomenon, the course of left ovarian vein was winding and was significantly wider than the contralateral vessel.

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What this paper is about

Left venous renal entrapment syndrome was observed during multidetector 64-row computer tomography and color Doppler ultrasonography in a 58-year-old Caucasian female hospitalized due to choledocholithiasis. The patient demonstrated no typical symptoms of nutcracker syndrome. The left renal vein (LRV) was compressed as it passed between the superior mesenteric artery and the right renal artery. The LRV lumen measured 1.7 × 7.8 mm (width × height) at the point of narrowing and 7.5 × 17 mm before this. Secondary to the nutcracker phenomenon, the course of left ovarian vein was winding and was significantly wider than the contralateral vessel.

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Available abstract

Left venous renal entrapment syndrome was observed during multidetector 64-row computer tomography and color Doppler ultrasonography in a 58-year-old Caucasian female hospitalized due to choledocholithiasis. The patient demonstrated no typical symptoms of nutcracker syndrome. The left renal vein (LRV) was compressed as it passed between the superior mesenteric artery and the right renal artery. The LRV lumen measured 1.7 × 7.8 mm (width × height) at the point of narrowing and 7.5 × 17 mm before this. Secondary to the nutcracker phenomenon, the course of left ovarian vein was winding and was significantly wider than the contralateral vessel.

Key concepts: Nutcracker syndrome, Medicine, Left renal vein, Superior mesenteric artery, Entrapment, Lumen (anatomy), Radiology, Color doppler

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