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.
Basile
Antonio
A
Department of Diagnostic and Interventional Radiology, Ospedale Ferrarotto, Catania, Italy. antodoc@yahoo.com
Tsetis
Dimitrios
D
Calcara
Giacomo
G
Figuera
Michele
M
Coppolino
Francesco
F
Patti
Maria Teresa
MT
Midiri
Massimo
M
Granata
Antonio
A
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