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Doctor insights on: Nutcracker Syndrome

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What is nutcracker syndrome?

What is nutcracker syndrome?

Pinched vein.: Nutcracker syndrome (ncs) is caused by a compression of the left renal vein between the aorta and the superior mesenteric artery. This pinching raises venous pressure on the left side and can lead to high venous pressure in the renal pelvis, ureter, and gonadal vein. Those can cause discomfort as well. ...Read more

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Can you advise for nutcracker syndrome?

Can you advise for nutcracker syndrome?

Left renal vein : compression between the superior mesenteric artery and the aorta. Please be evaluated by a urologist. You may need a CT arterogram/venogram. Treatment depends on severity. Must rule out stones or pelvic congestion syndrome. There is a more rare condition called loin pain hematuria syndrome which has similar symptoms. Different from SMA syndrome which compresses the duodenum. ...Read more

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How typical is the nutcracker syndrome?

How typical is the nutcracker syndrome?

Not common.: The nutcracker syndrome is due to compression of the left renal vein between the superior mesenteric artery and the aorta. This is a very uncommon syndrome and has vague symptoms of abdominal pain and blood in the urine. A cta would help to make the diagnosis. The diagnosis is not easy to make and you may want to see a vascular surgeon. ...Read more

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Can you give me suggestions with nutcracker syndrome?

Can you give me suggestions with nutcracker syndrome?

Not common.: The nutcracker syndrome is due to compression of the left renal vein between the superior mesenteric artery and the aorta. This is a very uncommon syndrome and has vague symptoms of abdominal pain and blood in the urine. A cta would help to make the diagnosis. ...Read more

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Does hysterectomy help with nutcracker syndrome?

Does hysterectomy help with nutcracker syndrome?

No: Nutcracker syndrome is compression of the left renal vein between the sma and the aorta. This increases the pressure in the left gonadal vein which comes off of the left renal vein so in this syndrome there is left testicular varicose veins (varicocele). A hysterectomy would not treat this problem. ...Read more

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Recently diagnosed with SMA nutcracker syndrome. How likely is my being a small person a factor in that diagnosis?

Recently diagnosed with SMA nutcracker syndrome. How likely is my being a small person a factor in that diagnosis?

See answer: Nutcracker syndrome refers to the compression of the left renal vein between the aorta and the superior mesenteric artery, which results in elevated left renal vein pressure causing abdominal/flank pain and blood in urine. Occurs more common in tall, thin, and slender females. Often misdiagnosed. There is also a condition known as sma syndrome which is a different and more serious condition. ...Read more

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Is a one-year-old abdominal CT scan that detected Nutcracker syndrome too old to look at for a second opinion ?

Is a one-year-old abdominal CT scan that detected Nutcracker syndrome too old to look at for a second opinion ?

Not too old: Second opinions can be given on any study. If your symptoms have gotten worse, then a newer study may show more disease, but the old study may still contribute some information to the diagnosis. You can contact me on my profile by pressing Send Message to start a consult. ...Read more

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An MRA confirmed that I have nutcracker syndrome in my left renal vein and right hepatic artery arising from the proximal Superior mesenteric artery. Could this be the cause of my uncontrolled BP &HR?

An MRA confirmed that I have nutcracker syndrome in my left renal vein and right hepatic artery arising from the proximal Superior mesenteric artery. Could this be the cause of my uncontrolled BP &HR?

Yes: Limitation of blood flow to a kidney will typically raise BP. Often in such a case the BP will be very difficult to control with meds unless the blood flow is restored. A stent in the renal artery may help, but there are several studies suggesting that if meds can control the BP, then procedural risks may not be warranted. You should consult with a vascular surgeon or interventional radiologist. ...Read more

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Went to the ER for gallstone pain the radiologist spotted Nutcracker syndrome/ left renal vein entrapment syndrome. Can a vascular surgeon use this CT?

Went to the ER for gallstone pain the radiologist spotted Nutcracker syndrome/ left renal vein entrapment syndrome. Can a vascular surgeon use this CT?

Imaging: A contrasted CT is better than a non-contrasted CT for NCS. Make a CD of the images and see a vascular surgeon. Your surgeon will decide what kind of imaging they need to help you decide what to do. ...Read more