Doppler ultrasound diagnosis of anterior nutcracker syndrome presenting with isolated urinary abnormalities.
Nutcracker syndrome is a vascular compression disorder caused by entrapment of the left renal vein between the abdominal aorta and the superior mesenteric artery, leading to renal venous hypertension and a spectrum of urinary and pelvic symptoms. We report the case of a 19-year-old male referred for…
Wilkie syndrome combined with nutcracker syndrome presented as syncopal episodes: A case report.
Combined aortomesenteric compression is an extremely rare vascular condition where both the duodenum (Wilkie) and the left renal vein (nutcracker) are compressed between the aorta and the superior mesenteric artery (SMA). The causal factor is the abnormal course of the SMA originating from the abdom…
Superior Mesenteric Artery Syndrome Complicated by Nutcracker Syndrome: Diagnostic and Therapeutic Challenges.
Vascular compression syndromes result from compression of blood vessels by anatomical structures, impairing arterial or venous flow. Superior mesenteric artery (SMA) syndrome causes duodenal obstruction due to a narrowed aortomesenteric angle and a shortened distance. Nutcracker syndrome (NCS) invol…
Compression and Superficial Varicosities Outperform Gonadal Vein Diameter in Differentiating Symptomatic from Asymptomatic Pelvic Venous Disorders: A Case-Control Study.
To assess whether gonadal vein (GV) diameter associates with pelvic venous disorder (PeVD)-consistent symptoms in women with pelvic varices, compared with proximal venous outflow obstruction (VOO; iliac/left renal vein stenosis/obstruction) and superficial varicosities. This retrospective, case-cont…
The Need for a Practical Reporting Framework for Pelvic Venous Findings on Imaging.
Variable interpretation of venous findings on imaging can contribute to referrer and patient confusion. Pelvic venous findings, specifically, are commonly encountered in asymptomatic patients. Diagnoses based on such imaging findings alone (e.g., diagnoses of nutcracker syndrome, May-Thurner syndrom…
Surgical management of superior mesenteric artery syndrome in a 16-year-old female: a case report and literature review.
Superior mesenteric artery syndrome (SMAS) is a rare gastrointestinal disorder caused by the compression of the third part of the duodenum between the superior mesenteric artery and the aorta. It typically presents with nonspecific upper gastrointestinal (GI) obstructive symptoms, making diagnosis c…