Posterior nutcracker syndrome is defined by the compression of the left renal vein between the abdominal aorta and a lumbar vertebral body. It can be clinically manifest with intermittent hematuria, gonadal or spermatic reflux resulting in varicocele. Ultrasound is the first-line imaging which require  more accurate study  with contrast-enhanced computed tomography. Management can be conservative in younger patients with mild hematuria due to the high spontaneous remission rate and invasive with open surgical and endovascular interventions. We describe a very rare case with compression of the left renal vein due to an osteophyte of the spine.

Posterior nutcracker syndrome: a case report

Gozzo, Cecilia;Farina, Renato;Foti, Pietro Valerio;Iannace, Francesco Aldo;Pennisi, Isabella;Santonocito, Serafino;Palmucci, Stefano;Basile, Antonio
Ultimo
2021

Abstract

Posterior nutcracker syndrome is defined by the compression of the left renal vein between the abdominal aorta and a lumbar vertebral body. It can be clinically manifest with intermittent hematuria, gonadal or spermatic reflux resulting in varicocele. Ultrasound is the first-line imaging which require  more accurate study  with contrast-enhanced computed tomography. Management can be conservative in younger patients with mild hematuria due to the high spontaneous remission rate and invasive with open surgical and endovascular interventions. We describe a very rare case with compression of the left renal vein due to an osteophyte of the spine.
Cardiovascular abnormalities
Doppler ultrasound
Multidetector computed tomography
Nutcracker syndrome
Aged
Hematuria
Humans
Male
Middle Aged
Renal Veins
Hepatitis B, Chronic
Renal Nutcracker Syndrome
Varicocele
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/542199
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