Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Nov 19, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Posterior nutcracker syndrome: a case report.

Cecilia Gozzo¹, Renato Farina², Pietro Valerio Foti²

¹Radiodiagnostic and Radiotherapy Unit, Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", Via Santa Sofia 78, 95123, Catania, Italy. ceciliagozzo91@gmail.com.

Journal of Medical Case Reports

|February 1, 2021

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Acute Non-Traumatic Urinary Tract Emergencies: The Central Role of CT Imaging and the Emerging Role of Photon-Counting CT.

Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes·2026

Same author

Cerebral fat embolism syndrome in sickle cell disease: a case highlighting the predominance of susceptibility-weighted imaging findings and literature review.

Radiology case reports·2026

Same author

Efficacy of Bimekizumab on Palmoplantar Psoriasis: A 16-Week Multicenter Retrospective Study-IL PSO (Italian Landscape PSOriasis).

Journal of clinical medicine·2026

Same author

Lipoid Pneumonia: HRCT and MRI Spectrum, Diagnostic Pitfalls, and Imaging-Based Diagnostic Workflow.

Diagnostics (Basel, Switzerland)·2026

Same author

Herpetic whitlow with neuropathic complications.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·2026

Same author

Beyond Psoriasis Area and Severity Index and Body Surface Area: An Italian Delphi Consensus on the Definition of Moderate Psoriasis.

Dermatology and therapy·2026

This summary is machine-generated.

Posterior nutcracker syndrome, caused by left renal vein compression, can present with varicocele. This rare case highlights spinal osteophytes as a cause, emphasizing Doppler ultrasound

Area of Science:

Radiology
Vascular Medicine
Nephrology

Background:

Posterior nutcracker syndrome involves left renal vein compression between the aorta and a vertebral body.
Clinical manifestations include hematuria and varicocele due to gonadal reflux.
Ultrasound is initial imaging, often requiring CT for detailed assessment.

Observation:

A 62-year-old male presented with chronic hepatitis B and scrotal pain.
Ultrasound revealed left retro-aortic renal vein compression by a spinal osteophyte.
Duplex Doppler showed left renal vein congestion and failure; power Doppler indicated left varicocele.

Findings:

Doppler ultrasound effectively detects left renal vein stenosis, congestion, and renal failure.
Spinal osteophytes are an uncommon cause of nutcracker syndrome.

Keywords:

Cardiovascular abnormalities Doppler ultrasound Multidetector computed tomography Nutcracker syndrome

More Related Videos

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

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

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

Published on: May 26, 2023

Related Experiment Videos

Last Updated: Nov 19, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

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

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

Published on: May 26, 2023

The syndrome should be suspected in older individuals with varicocele and hematuria.

Implications:

Accurate diagnosis of nutcracker syndrome is crucial to prevent severe health consequences.
Early detection via Doppler ultrasound aids timely intervention.
Understanding rare etiologies like osteophytes improves diagnostic accuracy.