Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome; Color Doppler Sonography and Multislice CT Findings: A Case Report

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Küçük Resim

Tarih

2014

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Kowsar Publ

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Nutcracker syndrome (NCS) is a rare pathology, caused by compression of the left renal vein (LRV) between the abdominal aorta (AA) and the superior mesenteric artery (SMA), due to reduction of the angle between AA and SMA. This leads to LRV varices, left gonadal vein varices and therefore, the pelvic congestion syndrome. For this reason, coexistence of NCS and pelvic congestion syndrome has been described. It manifests by hematuria, proteinuria, and nonspecific pelvic pain secondary to pelvic congestion, dyspareunia and persistent genital arousal We report a 27-year-old woman who experienced hematuria and left flank pain. The diagnosis of NCS accompanied by pelvic congestion syndrome was missed initially but later on the diagnosis was made by color Doppler ultrasound, abdominal computed tomography (CT) and CT angiography that were later performed. She refused interventional and surgical treatments, and was lost to follow up.

Açıklama

INAL, MIKAIL/0000-0003-0642-7913

Anahtar Kelimeler

Hematuria, Renal Nutcracker Syndrome, Flank Pain

Kaynak

Iranian Journal Of Radiology

WoS Q Değeri

Q4

Scopus Q Değeri

Q4

Cilt

11

Sayı

2

Künye

Inal M, Karadeniz Bilgili M Y, Sahin S. Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome; Color Doppler Sonography and Multislice CT Findings: A Case Report. I J Radiol. 2014;11(2):e11075.