Nutcracker Syndrome ultrasonography imaging features

The Nutcracker Syndrome (NCS), also known as left renal vein (LRV) entrapment syndrome, is caused by LRV stenosis due to the angle narrowing between the superior mesenteric artery (SMA) and the aorta. The stenosis leads to dilatation of the LRV distal portion. Patients may be asymptomatic or experience hematuria, proteinuria, flank pain, pelvic congestion in women, and varicocele in men. Doppler ultrasonography (US) is an excellent diagnostic tool for NCS as it facilitates assessing LRV anatomy and physiology. This case report aimed to describe the imaging features of NCS in Doppler US and to discuss the diverse features of NCS in various imaging studies.

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Publication Details

Journal
Anais da Faculdade de Medicina de Olinda
Published
2025-03-28
DOI
https://doi.org/10.56102/afmo.2025.368
Primary Topic
Vascular anomalies and interventions
Type
article
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article

Nutcracker Syndrome ultrasonography imaging features

Luciana Munhoz, Yeda da Silva, Naiany Olivotto Martins, Plauto Christopher Aranha Watanabe et al.
Anais da Faculdade de Medicina de Olinda
Vascular anomalies and interventions
article

Nutcracker Syndrome ultrasonography imaging features

Luciana Munhoz, Yeda da Silva, Naiany Olivotto Martins, Plauto Christopher Aranha Watanabe, Marianna Rafaelly Sforza Auerswald, Alexia Victória Klassen, Isabelle Tomelin Rothenburg
article en

Abstract

The Nutcracker Syndrome (NCS), also known as left renal vein (LRV) entrapment syndrome, is caused by LRV stenosis due to the angle narrowing between the superior mesenteric artery (SMA) and the aorta. The stenosis leads to dilatation of the LRV distal portion. Patients may be asymptomatic or experience hematuria, proteinuria, flank pain, pelvic congestion in women, and varicocele in men. Doppler ultrasonography (US) is an excellent diagnostic tool for NCS as it facilitates assessing LRV anatomy and physiology. This case report aimed to describe the imaging features of NCS in Doppler US and to discuss the diverse features of NCS in various imaging studies.

Anais da Faculdade de Medicina de OlindaVol. 1(13)
Universidade de São Paulo (BR), Kemerovo State Medical University (RU), Fundação Faculdade de Medicina (BR), Universidade Positivo (BR)
Openalex Percentile: Top 90%
Vascular anomalies and interventions
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Nutcracker Syndrome ultrasonography imaging features — Luciana Munhoz, Yeda da Silva, et al. · Anais da Faculdade de Medicina de Olinda (2025) | TGRS Research Map | TGRS