Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
Nutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2011.100 |
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| author | Obi Ekwenna Michael A. Gorin Miguel Castellan Victor Casillas Gaetano Ciancio |
| author_facet | Obi Ekwenna Michael A. Gorin Miguel Castellan Victor Casillas Gaetano Ciancio |
| author_sort | Obi Ekwenna |
| collection | DOAJ |
| description | Nutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the right renal vein by the superior mesenteric artery. Secondary to this anatomic anomaly, the patient experienced a many-year history of flank pain and intermittent gross hematuria. We have termed this unusual anatomic finding and its associated symptoms as the “inverted nutcracker syndrome”, and describe its successful management with nephrectomy and autotransplantation. |
| format | Article |
| id | doaj-art-8d8ec88a260948a18e8a579aef994031 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-8d8ec88a260948a18e8a579aef9940312025-02-03T01:31:42ZengWileyThe Scientific World Journal1537-744X2011-01-01111031103510.1100/tsw.2011.100Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena CavaObi Ekwenna0Michael A. Gorin1Miguel Castellan2Victor Casillas3Gaetano Ciancio4Department of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Radiology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USANutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the right renal vein by the superior mesenteric artery. Secondary to this anatomic anomaly, the patient experienced a many-year history of flank pain and intermittent gross hematuria. We have termed this unusual anatomic finding and its associated symptoms as the “inverted nutcracker syndrome”, and describe its successful management with nephrectomy and autotransplantation.http://dx.doi.org/10.1100/tsw.2011.100 |
| spellingShingle | Obi Ekwenna Michael A. Gorin Miguel Castellan Victor Casillas Gaetano Ciancio Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava The Scientific World Journal |
| title | Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava |
| title_full | Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava |
| title_fullStr | Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava |
| title_full_unstemmed | Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava |
| title_short | Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava |
| title_sort | inverted nutcracker syndrome a case of persistent hematuria and pain in the presence of a left sided inferior vena cava |
| url | http://dx.doi.org/10.1100/tsw.2011.100 |
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