-
Tytuł:
-
Nutcracker Syndrome as an Unusual Cause of Postprandial Pain.
-
Autorzy:
-
Maloni KC; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.
Calligaro KD; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.
Lipshutz W; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.
Vani K; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.
Troutman DA; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.
Dougherty MJ; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.
-
Źródło:
-
Vascular and endovascular surgery [Vasc Endovascular Surg] 2020 Apr; Vol. 54 (3), pp. 283-285. Date of Electronic Publication: 2019 Dec 30.
-
Typ publikacji:
-
Case Reports
-
Język:
-
English
-
Imprint Name(s):
-
Publication: Thousand Oaks, CA : Sage Publications
Original Publication: Glen Head, N.Y. : Westminster Publications, c2002-
-
MeSH Terms:
-
Postprandial Period*
Vasodilation*
Flank Pain/*etiology
Mesenteric Artery, Superior/*physiopathology
Ovary/*blood supply
Renal Nutcracker Syndrome/*complications
Renal Veins/*physiopathology
Female ; Flank Pain/diagnosis ; Humans ; Mesenteric Artery, Superior/diagnostic imaging ; Middle Aged ; Renal Nutcracker Syndrome/diagnostic imaging ; Renal Nutcracker Syndrome/surgery ; Renal Veins/diagnostic imaging ; Treatment Outcome ; Vascular Grafting/methods ; Vena Cava, Inferior/surgery
-
Contributed Indexing:
-
Keywords: SMA syndrome; nutcracker syndrome; ovarian vein transposition
-
Entry Date(s):
-
Date Created: 20191231 Date Completed: 20200226 Latest Revision: 20200226
-
Update Code:
-
20240104
-
DOI:
-
10.1177/1538574419896721
-
PMID:
-
31884879
-
Nutcracker syndrome is a rare entity in which compression of the left renal vein (LRV), usually by the overlying superior mesenteric artery (SMA), results in renal venous congestion and reflux in the left ovarian vein (LOV). Patients may present with hematuria, left flank pain, dyspareunia, and vaginal or abdominal wall varicose veins. We report a patient with nutcracker syndrome who presented atypically with left flank pain that was exacerbated in the postprandial state. We hypothesize that the physiologic dilation of the SMA after oral intake caused increased LRV compression at that site and augmented lateral LRV distention. The patient had no evidence of SMA syndrome or chronic mesenteric insufficiency. Her symptoms resolved after we performed an LOV to inferior vena cava transposition.