A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome
Yıl: 2023 Cilt: 15 Sayı: 2 Sayfa Aralığı: 273 - 276 Metin Dili: İngilizce DOI: 10.18521/ktd.1106258 İndeks Tarihi: 11-07-2023
A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome
Öz: Nutcracker syndrome refers to the compression of the left renal vein, usually between the aorta and the superior mesenteric artery. Flank pain is the most common complaint and hematuria can be seen among the laboratory findings. This syndrome, which is more common in women with low body mass index, can be difficult to diagnose. A 41-year-old female patient with persistent left flank pain was admitted to our family medicine outpatient clinic. Despite many polyclinic applications, there was no finding that could explain the pain in the patient, who did not have any features in her history. Computed tomography requested in our family medicine outpatient clinic revealed that the left renal vein was compressed between the aorta and the superior mesenteric artery, and the patient was diagnosed with nutcracker syndrome. Nutcracker syndrome is difficult to diagnose and is a diagnosis of exclusion to be considered in patients presenting with atypical left flank pain. A wide variety of methods are used in the treatment, from conservative treatment to the endovascular stent and surgical treatment, depending on the severity of the symptoms.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- Granata A, Distefano G, Sturiale A, Figuera M, Foti PV, Palmucci S, Basile A. From Nutcracker Phenomenon to Nutcracker Syndrome: A Pictorial Review. Diagnostics (Basel). 2021;11;11(1):101.
- Shaper KR, Jackson JE, Williams G. The nutcracker syndrome: an uncommon cause of haematuria. Br J Urol. 1994;74(2):144-6.
- Shin JI, Park JM, Lee JS, Kim MJ. Effect of renal Doppler ultrasound on the detection of nutcracker syndrome in children with hematuria. Eur J Pediatr. 2007;166(5):399-404.
- Shin JI, Lee JS, Kim MJ. The prevalence, physical characteristics and diagnosis of nutcracker syndrome. Eur J Vasc Endovasc Surg. 2006;32(3):335-6.
- Ananthan K, Onida S, Davies AH. Nutcracker Syndrome: An Update on Current Diagnostic Criteria and Management Guidelines. Eur J Vasc Endovasc Surg. 2017;53(6):886-94.
- Kurklinsky A, Rooke T. Nutcracker Phenomenon and Nutcracker Syndrome. Mayo Clinic proceedings. Mayo Clinic. 2010;85:552-9.
- Berthelot JM, Douane F, Maugars Y, Frampas E. Nutcracker syndrome: A rare cause of left flank pain that can also manifest as unexplained pelvic pain. Joint Bone Spine. 2017;84(5):557-62.
- Kim K, Cho J, Kim SH, Yoon J, Kim DS, Chung J, Park J. Diagnostic value of computed tomographic findings of nutcracker syndrome: Correlation with renal venography and renocaval pressure gradients. European journal of radiology. 2011;80:648-54.
- Garg E, Barutca H, Kanyilmaz M, Sargin M, Sahin S. Nutcracker syndrome. Turkish Journal of Thoracic and Cardiovascular Surgery. 2013; 21:146-50.
- Reed NR, Kalra M, Bower TC, Vrtiska TJ, Ricotta JJ 2nd, Gloviczki P. Left renal vein transposition for nutcracker syndrome. J Vasc Surg. 2009;49(2):386-93; discussion 393-4.
- Velasquez CA, Saeyeldin A, Zafar MA, Brownstein AJ, Erben Y. A systematic review on management of nutcracker syndrome. J Vasc Surg Venous Lymphat Disord. 2018;6(2):271-8.
APA | Kaba A, Kaba E, ARDIÇ C (2023). A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. , 273 - 276. 10.18521/ktd.1106258 |
Chicago | Kaba Ayşe,Kaba Esat,ARDIÇ CÜNEYT A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. (2023): 273 - 276. 10.18521/ktd.1106258 |
MLA | Kaba Ayşe,Kaba Esat,ARDIÇ CÜNEYT A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. , 2023, ss.273 - 276. 10.18521/ktd.1106258 |
AMA | Kaba A,Kaba E,ARDIÇ C A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. . 2023; 273 - 276. 10.18521/ktd.1106258 |
Vancouver | Kaba A,Kaba E,ARDIÇ C A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. . 2023; 273 - 276. 10.18521/ktd.1106258 |
IEEE | Kaba A,Kaba E,ARDIÇ C "A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome." , ss.273 - 276, 2023. 10.18521/ktd.1106258 |
ISNAD | Kaba, Ayşe vd. "A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome". (2023), 273-276. https://doi.org/10.18521/ktd.1106258 |
APA | Kaba A, Kaba E, ARDIÇ C (2023). A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. KONURALP TIP DERGİSİ, 15(2), 273 - 276. 10.18521/ktd.1106258 |
Chicago | Kaba Ayşe,Kaba Esat,ARDIÇ CÜNEYT A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. KONURALP TIP DERGİSİ 15, no.2 (2023): 273 - 276. 10.18521/ktd.1106258 |
MLA | Kaba Ayşe,Kaba Esat,ARDIÇ CÜNEYT A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. KONURALP TIP DERGİSİ, vol.15, no.2, 2023, ss.273 - 276. 10.18521/ktd.1106258 |
AMA | Kaba A,Kaba E,ARDIÇ C A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. KONURALP TIP DERGİSİ. 2023; 15(2): 273 - 276. 10.18521/ktd.1106258 |
Vancouver | Kaba A,Kaba E,ARDIÇ C A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome. KONURALP TIP DERGİSİ. 2023; 15(2): 273 - 276. 10.18521/ktd.1106258 |
IEEE | Kaba A,Kaba E,ARDIÇ C "A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome." KONURALP TIP DERGİSİ, 15, ss.273 - 276, 2023. 10.18521/ktd.1106258 |
ISNAD | Kaba, Ayşe vd. "A Rare Cause of Unexplained Left Flank Pain: Nutcracker Syndrome". KONURALP TIP DERGİSİ 15/2 (2023), 273-276. https://doi.org/10.18521/ktd.1106258 |