Chronic Pelvic Pain and Hematuria Associated with Posterior Nutcracker Syndrome

pelvic pain-hematuria-left renal vein-posterior nutcracker syndrome.

Authors

  • Dr. L. Belkouchi Department of Radiology, Oncology National Institute, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, Morocco.
  • Dr. K. Imrani Department of Radiology, Oncology National Institute, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, Morocco.
  • Dr. S. Allioui Department of Radiology, Oncology National Institute, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, Morocco.
  • Dr. H. Jerguigue Department of Radiology, Oncology National Institute, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, Morocco.
  • Pr. R. Latib Department of Radiology, Oncology National Institute, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, Morocco.
  • Pr. Y. Omor Department of Radiology, Oncology National Institute, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, Morocco.
November 5, 2020

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The nutcracker syndrome is a rare syndrome in which the left renal vein is compressed between the aorta and the superior mesenteric artery or even more rarely between the aorta and vertebral body, in case of an anatomical variation of the left renal vein.

It is more likely discovered within young patients presenting pelvic pain, hematuria, or varicocele. Treatments vary from conservative, to surgical or endovascular.

Here we present the case of a young patient with chronic pelvic pain and hematuria, diagnosed as a posterior nutcracker syndrome.