At the upmc heart and vascular institute, our surgeons in the division of vascular surgery are experts in treating nutcracker syndrome. Controversy also exists regarding treatment of nutcracker syndrome. Renal nutcracker syndrome genetic and rare diseases nih. Nutcracker syndrome ncs, which is caused by compression of the left renal vein between the abdominal aorta and the superior mesenteric artery, leads. Nutcracker syndrome is diagnosed through imaging such as doppler ultrasound dus, computed tomography ct, magnetic resonance imaging mri, and venography. This can result in elevated left renal vein pressure and reduced renal perfusion. They said my colon doesnt function properly so thats what they think is causing it but i also have a compressed renal vein which can cause nutcracker syndrome.
Nutcracker syndrome is a vascular compression disorder that refers to the compression of the left renal vein most commonly between the superior mesenteric artery sma and aorta, although other variations can exist 1 this can lead to renal venous hypertension, resulting in rupture of thinwalled veins into the collecting system with resultant hematuria. Dus is the initial choice after clinical suspicion based on symptoms. Common treatments for nutcracker syndrome include stenting. Some people may not have symptoms, while others develop severe and persistent symptoms. Does anyone have thisi need help i have pain and nausea everyday i dont even want to eat anymore. Maythurner syndrome, also known as iliac vein compression syndrome or cocketts syndrome, affects two blood vessels that go to your legs. Nutcracker phenomenon and nutcracker syndrome are sometimes used interchangeably in literatures. Treatment should be started strictly when it is causing symptoms hematuria and left flank pain. Renal nutcracker syndrome ncs is a condition that occurs when the left renal vein the vein that carries blood purified by the left kidney becomes compressed.
The symptoms and severity of renal nutcracker syndrome can vary from person to person. The pain gets highly aggravated by standing, walking, riding, and sitting. Although some patients have severe and persistent symptoms, many, especially children, are asymptomatic. Although both terms are clinically equivalent, the latter is used for patients who are manifesting the characteristic clinical symptoms of the disorder 2. This signs and symptoms information for renal nutcracker syndrome has been gathered from various sources, may not be fully accurate, and may not be the full list of renal nutcracker syndrome signs or renal nutcracker syndrome symptoms. Moderate gastroparesis was found on a nuclear medicine study, but treatment did not improve her symptoms. Renal nutcracker syndrome genetic and rare diseases.
It can cause many symptoms in both children and adults, such as flank pain and blood in the urine. In nutcracker syndrome, symptoms are most often caused when the left renal vein coming from the left kidney becomes compressed and blood cant flow normally through it. It occurs when arteries compress the left renal kidney vein, often causing intermittent hematuria blood in the urine. Furthermore, signs and symptoms of renal nutcracker syndrome may vary on an individual basis for each patient. Nutcracker syndrome, also called renal nutcracker syndrome is a rare vascular condition. Nutcracker syndrome, which refers to symptoms associated with the above. Nutcracker phenomenon and nutcracker syndrome ncbi. The selection of the imaging modality is a stepwise process. The nutcracker syndrome is a vascular disorder, but the signs and symptoms are mainly urological or gynecological. Nutcracker phenomenon refers to compression of the left renal vein, most commonly between the aorta and the superior mesenteric artery, with impaired blood outflow often accompanied by distention of the distal portion of the vein.