HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Yang, W.-J. Articles by Yang, F.-S. Search for Related Content PubMed PubMed Citation Articles by Yang, W.-J. Articles by Yang, F.-S.

Mesoaortic compression of left renal vein revealed by multidetector computed tomography: nutcracker syndrome

Department of Emergency Radiology, Mackay Memorial Hospital, Taipei, Taiwan

Correspondence to:
Correspondence to:
Dr Fei-Shih Yang
Department of Radiology, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan N. Road, Taipei, Taiwan; wanju1022@yahoo.com.tw

Accepted 2 August 2006

The first 150 words of the full text of this article appear below.

A 63-year-old woman presented with acute sharp left flank pain of 2 days duration and came to our emergency unit for help. Initial investigations, including repeat cultures of urine and urine cytology, showed microscopic haematuria but were otherwise normal. Ultrasound of the urinary tract revealed mild right pelviectasis. The patient continued to have non-colicky left flank and lower abdominal pain which was aggravated by a change in position. Past medical and family history was non-contributory. Multidetector computed tomography (MDCT) showed a dilated left renal vein with abrupt narrowing between the aorta and superior mesenteric artery (fig 1). After admission, Doppler ultrasound examination of the kidneys demonstrated an enlargement of the left renal vein proximal to the aorta–mesenteric junction. Nutcracker syndrome was diagnosed. Nutcracker syndrome is a rare but important clinical condition that should be considered in the patients with microscopic haematuria, left flank pain and mesoaortic compression of left . . . [Full text of this article]