Related Experiment Video
Updated: Nov 19, 2025
06:45
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
15.0K
RENAL VEIN THROMBOSIS DUE TO POSTERIOR NUTCRACKER SYNDROME.
Laura Lizama1, Sergio Bran1, Sven Kuestermann1
1HERRERA LLERANDI HOSPITAL, GUATEMALA CITY, GUATEMALA.
Methodist Debakey Cardiovascular Journal
|January 27, 2021
Summary
Left renal vein thrombosis, a rare condition, can stem from anatomical variations like posterior nutcracker syndrome. This case highlights its severe complication: thrombosis with pulmonary embolism.
Area of Science:
- Vascular Surgery
- Nephrology
- Radiology
Background:
- Left renal vein (LRV) thrombosis is uncommon, often linked to hypercoagulable states or extrinsic compression.
- Nutcracker phenomenon (NP) describes anatomical variations causing LRV compression, typically asymptomatic.
- NP variants include aortomesenteric angle narrowing, posterior nutcracker syndrome (PNCS), and duplicated LRV.
Observation:
- Posterior nutcracker syndrome (PNCS) involves LRV compression between the abdominal aorta and spine.
- Symptoms of NP include flank pain, varicocele, hematuria, and orthostatic proteinuria.
- LRV thrombosis is a severe complication of NP, potentially with prothrombotic factors.
Findings:
- This case presents a rare association of PNCS with LRV thrombosis.
- A floating thrombus in the inferior vena cava was identified.
- Pulmonary embolism was a significant complication in this patient.
Implications:
- Highlights the potential severity of asymptomatic anatomical variations like PNCS.
- Emphasizes the importance of considering NP in unexplained LRV thrombosis.
- Underscores the risk of thromboembolic events secondary to LRV compression and thrombosis.
More Related Videos
08:05Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
4.7K
05:44Author Spotlight: Utilizing Venoplasty Balloon Model in Rodents to Simulate Surgical Interventions for Deep Veins
Published on: May 24, 2024
889
Related Concept Videos
01:30Venous Thrombosis I: Introduction
121
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...
121
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
124
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...
124
01:29Venous Thrombosis III: Interprofessional Care
115
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
115
01:30Venous Thrombosis IV: Nursing Management
96
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,...
96
01:26Varicose Veins I: Introduction
76
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
76
01:11Overview of Systemic Veins
891
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
891