Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava

Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava

Nutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the...

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Main Authors: Obi Ekwenna, Michael A. Gorin, Miguel Castellan, Victor Casillas, Gaetano Ciancio
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.100
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spelling doaj-8d8ec88a260948a18e8a579aef9940312020-11-25T01:37:49ZengHindawi LimitedThe Scientific World Journal1537-744X2011-01-01111031103510.1100/tsw.2011.100Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena CavaObi Ekwenna0Michael A. Gorin1Miguel Castellan2Victor Casillas3Gaetano Ciancio4Department of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Radiology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USADepartment of Urology, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, USANutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the right renal vein by the superior mesenteric artery. Secondary to this anatomic anomaly, the patient experienced a many-year history of flank pain and intermittent gross hematuria. We have termed this unusual anatomic finding and its associated symptoms as the “inverted nutcracker syndrome”, and describe its successful management with nephrectomy and autotransplantation.http://dx.doi.org/10.1100/tsw.2011.100
collection DOAJ
language English
format Article
sources DOAJ
author Obi Ekwenna
Michael A. Gorin
Miguel Castellan
Victor Casillas
Gaetano Ciancio
spellingShingle Obi Ekwenna
Michael A. Gorin
Miguel Castellan
Victor Casillas
Gaetano Ciancio
Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
The Scientific World Journal
author_facet Obi Ekwenna
Michael A. Gorin
Miguel Castellan
Victor Casillas
Gaetano Ciancio
author_sort Obi Ekwenna
title Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
title_short Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
title_full Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
title_fullStr Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
title_full_unstemmed Inverted Nutcracker Syndrome: A Case of Persistent Hematuria and Pain in the Presence of a Left-Sided Inferior Vena Cava
title_sort inverted nutcracker syndrome: a case of persistent hematuria and pain in the presence of a left-sided inferior vena cava
publisher Hindawi Limited
series The Scientific World Journal
issn 1537-744X
publishDate 2011-01-01
description Nutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the right renal vein by the superior mesenteric artery. Secondary to this anatomic anomaly, the patient experienced a many-year history of flank pain and intermittent gross hematuria. We have termed this unusual anatomic finding and its associated symptoms as the “inverted nutcracker syndrome”, and describe its successful management with nephrectomy and autotransplantation.
url http://dx.doi.org/10.1100/tsw.2011.100
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AT michaelagorin invertednutcrackersyndromeacaseofpersistenthematuriaandpaininthepresenceofaleftsidedinferiorvenacava
AT miguelcastellan invertednutcrackersyndromeacaseofpersistenthematuriaandpaininthepresenceofaleftsidedinferiorvenacava
AT victorcasillas invertednutcrackersyndromeacaseofpersistenthematuriaandpaininthepresenceofaleftsidedinferiorvenacava
AT gaetanociancio invertednutcrackersyndromeacaseofpersistenthematuriaandpaininthepresenceofaleftsidedinferiorvenacava
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