Nutcracker Syndrome: An Exceptional Etiology of Acute Abdominal Pain in Young Subjects : A Case Report
Published: 2022-08-29
Page: 121-126
Issue: 2022 - Volume 5 [Issue 1]
A. Elbakouri
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
N. Fakhiri *
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
Y. Eddaoudi
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
M. Bouali
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
K. El Hattabi
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
F. Z. Bensardi
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
A. Fadil
Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Nutcracker syndrome, a rare condition that causes abdominal pain as a result of the left renal vein being compressed as it passes between the aorta and the superior mesenteric artery, is most common in individuals between the ages of 20 and 30. Its diagnosis is based essentially on modern imaging methods (CT scan, Doppler ultrasound, phlebography) and its treatment is controversial, Doppler ultrasound has a sensitivity of 78% and a specificity of 100%. Both CT and MRI can show compression of the left renal vein between the aorta and superior mesenteric artery.
Keywords: Nutcracker syndrome, left renal vein, aorto-mesenteric region, surgery