Related Experiment Video
Updated: May 4, 2026
03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
470
Nutcracker syndrome complicated by left renal vein thrombosis
Faouzi Mallat1, Wissem Hmida1, Mehdi Jaidane1
1Department of Urology, Hospital of Sahloul, 4054 Sousse, Tunisia.
Case Reports in Urology
|December 19, 2013
Summary
Isolated renal vein thrombosis, a rare condition, was diagnosed in a patient presenting with flank pain. This case highlights computed tomography angiography
Area of Science:
- Nephrology
- Vascular Surgery
- Radiology
Background:
- Isolated renal vein thrombosis (iRVT) is an uncommon clinical presentation.
- Flank pain can be an indicator of renal vein thrombosis.
- Nutcracker syndrome can be complicated by renal vein thrombosis.
Purpose of the Study:
- To present a case of iRVT.
- To illustrate the diagnostic utility of computed tomography angiography (CTA).
- To discuss management options for complicated Nutcracker syndrome.
Main Methods:
- A patient with flank pain underwent abdominal computed tomography angiography (CTA).
- Diagnosis of renal vein thrombosis and Nutcracker syndrome was confirmed via CTA.
- Treatment involved anticoagulation followed by consideration of surgical intervention.
Main Results:
- CTA successfully diagnosed nutcracker syndrome complicated by renal vein thrombosis.
- Anticoagulation led to complete resolution of the renal vein thrombosis within three weeks.
- Left renal vein transposition was proposed as a treatment for the underlying Nutcracker syndrome.
Conclusions:
- CTA is a valuable tool for diagnosing renal vein thrombosis and associated conditions like Nutcracker syndrome.
- Anticoagulation can be effective in resolving acute renal vein thrombosis.
- Surgical intervention, such as left renal vein transposition, may be considered for persistent Nutcracker syndrome.
Related Concept Videos
01:24Nephrotic Syndrome I : Introduction
1.2K
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
1.2K
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
469
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
469
01:30Venous Thrombosis I: Introduction
822
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
822
01:30Venous Thrombosis IV: Nursing Management
415
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
415
01:19Imaging Studies VII: Vascular Imaging
558
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
558
01:22Portal Hypertension
50
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
50