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Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain

The Nutcracker Syndrome is a rare and often unrecognized cause of chronic pelvic pain and left back pain. These symptoms are due to the left renal vein compression between the aorta and the superior mesenteric artery (anterior nutcracker) or between the aorta and the spine (posterior nutcracker). Th...

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Autores principales: Onka, Behyamet, Khouchoua, Selma, Yehouenou, Tessi Romeo Thierry, Jerguigue, Hounayda, Latib, Rachida, Omor, Youssef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203591/
https://www.ncbi.nlm.nih.gov/pubmed/34158886
http://dx.doi.org/10.1016/j.radcr.2021.05.007
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author Onka, Behyamet
Khouchoua, Selma
Yehouenou, Tessi Romeo Thierry
Jerguigue, Hounayda
Latib, Rachida
Omor, Youssef
author_facet Onka, Behyamet
Khouchoua, Selma
Yehouenou, Tessi Romeo Thierry
Jerguigue, Hounayda
Latib, Rachida
Omor, Youssef
author_sort Onka, Behyamet
collection PubMed
description The Nutcracker Syndrome is a rare and often unrecognized cause of chronic pelvic pain and left back pain. These symptoms are due to the left renal vein compression between the aorta and the superior mesenteric artery (anterior nutcracker) or between the aorta and the spine (posterior nutcracker). The variety of clinical manifestations make the diagnosis difficult and commonly delayed. Therefore, imaging plays a key role in correcting the diagnosis by confirming the left renal vein stenosis and ruling out any differential diagnosis. Treatment options are discussed by a multidisciplinary team involving urologists, nephrologists and vascular surgeons for each patient. We report the case of 2 patients presenting chronic pelvic and lower back pain in whom clinical investigation and CT imaging findings were consistent with a nutcracker syndrome.
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spelling pubmed-82035912021-06-21 Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain Onka, Behyamet Khouchoua, Selma Yehouenou, Tessi Romeo Thierry Jerguigue, Hounayda Latib, Rachida Omor, Youssef Radiol Case Rep Case Report The Nutcracker Syndrome is a rare and often unrecognized cause of chronic pelvic pain and left back pain. These symptoms are due to the left renal vein compression between the aorta and the superior mesenteric artery (anterior nutcracker) or between the aorta and the spine (posterior nutcracker). The variety of clinical manifestations make the diagnosis difficult and commonly delayed. Therefore, imaging plays a key role in correcting the diagnosis by confirming the left renal vein stenosis and ruling out any differential diagnosis. Treatment options are discussed by a multidisciplinary team involving urologists, nephrologists and vascular surgeons for each patient. We report the case of 2 patients presenting chronic pelvic and lower back pain in whom clinical investigation and CT imaging findings were consistent with a nutcracker syndrome. Elsevier 2021-06-08 /pmc/articles/PMC8203591/ /pubmed/34158886 http://dx.doi.org/10.1016/j.radcr.2021.05.007 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Onka, Behyamet
Khouchoua, Selma
Yehouenou, Tessi Romeo Thierry
Jerguigue, Hounayda
Latib, Rachida
Omor, Youssef
Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain
title Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain
title_full Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain
title_fullStr Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain
title_full_unstemmed Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain
title_short Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain
title_sort nutcracker syndrome: a rare cause of chronic pelvic pain and left back pain
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203591/
https://www.ncbi.nlm.nih.gov/pubmed/34158886
http://dx.doi.org/10.1016/j.radcr.2021.05.007
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