title: Endovascular stenting for nutcracker syndrome.
abstract: Nutcracker syndrome (NCS) is a rare pathology manifested by pain or hematuria in males and females alike. It can be easily overlooked, and should be considered in young men or women with symptoms of extended duration. We present a case of a 54-year-old female with chronic lower abdominal pain radiating to the left thigh of 4 years in duration. Computed tomography (CT) eventually revealed engorged left renal, gonadal, and uterine veins due to compression between the superior mesenteric artery (SMA) and the abdominal aorta, consistent with NCS. After a successful endovascular stenting and a 6-month period of antiplatelet and anticoagulant therapy, the patient returned to stable health. NCS, while rare, should be suspected in patients of both sexes with persistent pain or hematuria.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.
authors.forename: Kuo-Kang
authors.initials: KK
authors.lastname: Feng
authors.forename: Chun-Yang
authors.initials: CY
authors.lastname: Huang
authors.forename: Chen-Yuan
authors.initials: CY
authors.lastname: Hsiao
authors.forename: Tsung-Hsing
authors.initials: TH
authors.lastname: Lee
authors.forename: Tzu-Ting
authors.initials: TT
authors.lastname: Kuo
authors.forename: Chun-Che
authors.initials: CC
authors.lastname: Shih
authors.forename: Chiao-Po
authors.initials: CP
authors.lastname: Hsu
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D059228:Renal Nutcracker Syndrome / Q000175:diagnosis / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed