Nutcracker phenomenon

Case contributed by Brendan Cullinane


Female patient in her mid 60s referred by a gynaecologist for a pelvic ultrasound to investigate a vulvar varicose vein. Previous hysterectomy and bilateral oophorectomy.

Patient Data

Gender: Female

The transabdominal and transvaginal pelvic ultrasounds were unremarkable. There was no obvious dilatation of the pelvic veins on transvaginal ultrasound.

The pelvic ultrasound and brief look over the abdomen did not reveal any compressive masses. Examination of the left renal vein suggested nutcracker phenomenon/syndrome. The left kidney appeared normal. The patient was scanned in the supine position only as this was not a formal examination of the abdominal vessels.

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Case information

rID: 21859
Published: 22nd Feb 2013
Last edited: 22nd Oct 2015
Inclusion in quiz mode: Included

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