Endovascular stenting for nutcracker syndrome

Kuo Kang Feng, Chun Yang Huang, Chen Yuan Hsiao, Tsung Hsing Lee, Tzu Ting Kuo, Chun Che Shih, Chiao Po Hsu

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)350-353
Number of pages4
JournalJournal of the Chinese Medical Association
Volume76
Issue number6
DOIs
Publication statusPublished - Jun 1 2013
Externally publishedYes

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Keywords

  • Abdominal aorta
  • Endovascular stenting
  • Left renal vein
  • Nutcracker syndrome
  • Superior mesenteric artery

ASJC Scopus subject areas

  • Medicine(all)

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