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Updated: May 29, 2026

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Published on: May 26, 2023

Posterior nutcracker syndrome.

Nedaa Skeik¹, Peter Gloviczki, Thanila A Macedo

¹Department of Vascular Medicine, Mayo Clinic, Rochester, MN 55905, USA. nskeik@yahoo.com

Vascular and Endovascular Surgery

|September 6, 2011

Summary

This summary is machine-generated.

Posterior nutcracker syndrome, a rare condition compressing the left renal vein, can cause flank pain and hematuria. This case report highlights its challenging diagnosis and the need for surgical intervention in persistent cases.

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Last Updated: May 29, 2026

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Published on: May 26, 2023

Area of Science:

Vascular Surgery
Nephrology
Urology

Background:

Renal vein compression syndromes, including anterior and posterior nutcracker syndrome, are uncommon causes of hematuria.
Anterior nutcracker syndrome involves left renal vein compression between the aorta and superior mesenteric artery.
Posterior nutcracker syndrome, a rarer variant, occurs when the left renal vein is compressed between the aorta and vertebral column.

Observation:

Symptoms may include intermittent left flank pain, hematuria, proteinuria, and pelvic congestion.
Diagnosis is frequently challenging, requiring thorough patient history and investigation.
This report details a rare case of posterior nutcracker syndrome in a young female with chronic symptoms.

Findings:

The case presented a rare instance of posterior nutcracker syndrome.
Long-standing symptoms in the patient indicated a chronic and complex presentation.
Surgical intervention was ultimately required for management.

Implications:

This case underscores the diagnostic difficulties associated with posterior nutcracker syndrome.
It highlights the importance of considering rare vascular compression syndromes in patients with unexplained hematuria and flank pain.
Effective management, including surgical options, is crucial for improving patient outcomes in complex cases.