Nutcracker syndrome due to left renal vein compression by an aberrant right renal artery.
Classic nutcracker syndrome is caused by left renal vein compression between the superior mesenteric artery and aorta, leading to retrograde venous hypertension associated with such urinary abnormalities as hematuria or proteinuria. We describe a case of symptomatic nutcracker syndrome treated by means of stent placement in which hypertension in the left renal vein was caused by stenosis of this vein compressed by an aberrant right renal artery at a point closer to the inferior vena cava.
Department of Diagnostic and Interventional Radiology, Ospedale Ferrarotto, Catania, Italy. antodoc@yahoo.com
Antonio
A
Basile
Dimitrios
D
Tsetis
Giacomo
G
Calcara
Michele
M
Figuera
Francesco
F
Coppolino
Maria Teresa
MT
Patti
Massimo
M
Midiri
Antonio
A
Granata
D000293:Adolescent; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000188:drug therapy; D005343:Fibrinolytic Agents / Q000494:pharmacology / Q000627:therapeutic use; D006417:Hematuria / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D008297:Male; D010690:Phlebography / Q000379:methods; D011507:Proteinuria / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology; D012077:Renal Artery / Q000000981:diagnostic imaging* / Q000187:drug effects; D012082:Renal Veins / Q000000981:diagnostic imaging* / Q000187:drug effects; D013577:Syndrome
D005343:Fibrinolytic Agents