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

doi:10.1016/j.jcma.2013.02.003

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 journal › Article › peer-review

5 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 language	English
Pages (from-to)	350-353
Number of pages	4
Journal	Journal of the Chinese Medical Association
Volume	76
Issue number	6
DOIs	https://doi.org/10.1016/j.jcma.2013.02.003
Publication status	Published - Jun 1 2013
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Medicine(all)

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10.1016/j.jcma.2013.02.003

Cite this

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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.",

keywords = "Abdominal aorta, Endovascular stenting, Left renal vein, Nutcracker syndrome, Superior mesenteric artery",

author = "Feng, {Kuo Kang} and Huang, {Chun Yang} and Hsiao, {Chen Yuan} and Lee, {Tsung Hsing} and Kuo, {Tzu Ting} and Shih, {Chun Che} and Hsu, {Chiao Po}",

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AU - Feng, Kuo Kang

AU - Huang, Chun Yang

AU - Hsiao, Chen Yuan

AU - Lee, Tsung Hsing

AU - Kuo, Tzu Ting

AU - Shih, Chun Che

AU - Hsu, Chiao Po

PY - 2013/6/1

Y1 - 2013/6/1

N2 - 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.

AB - 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.

KW - Abdominal aorta

KW - Endovascular stenting

KW - Left renal vein

KW - Nutcracker syndrome

KW - Superior mesenteric artery

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Endovascular stenting for nutcracker syndrome

Abstract

Keywords

ASJC Scopus subject areas

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