Nutcracker syndrome

Case contributed by Sigmund Stuppner


Chronic left hypochondrial pain.

Patient Data

Age: 35 years
Gender: Male

The CT shows compression of the left renal vein between the superior mesenteric artery and aorta. There is also a varicose dilatation of the left testicular vein.

Case Discussion

The most common clinical manifestation of the nutcracker syndrome is intermittent macroscopic hematuria, repeated episodes of gross hematuria and left flank pain. Renal vein thrombosis can be an important complication.

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