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Updated: Aug 23, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome

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Published on: April 5, 2024

Nutcracker syndrome, conservative approach: a case report.

Muheilan Muheilan¹, Anna Walsh¹, Frank O'Brien¹

¹Department of Urology, Cork University Hospital, Cork, Ireland.

Journal of Surgical Case Reports

|October 27, 2022

Summary

This summary is machine-generated.

The nutcracker syndrome (NCS) involves left renal vein compression, causing symptoms like hematuria. Accurate diagnosis and varied treatments are crucial for managing this rare condition.

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Area of Science:

Nephrology
Vascular Surgery
Radiology

Background:

The nutcracker phenomenon (NCP) describes left renal vein compression, typically between the aorta and superior mesenteric artery (SMA).
Nutcracker syndrome (NCS) is diagnosed when clinical symptoms align with imaging evidence of this anatomical anomaly.

Observation:

A case of NCS presented with painless visible hematuria and left flank pain.
Imaging confirmed left renal vein stenosis at the SMA origin, with evidence of collateral circulation.

Findings:

Diagnosis of NCP utilizes various imaging modalities.
Treatment options for NCS range from conservative management to surgical and endovascular interventions.

Implications:

Accurate diagnosis requires correlating symptoms, lab results, and excluding other conditions.
Establishing an International Consortium database can enhance understanding of this rare disease.