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Nutcracker syndrome

Case contributed by Khalid Alhusseiny
Diagnosis certain

Presentation

Vague abdominal pain.

Patient Data

Age: 20 years
Gender: Male
ct

Two left renal veins are seen with the upper one being trapped and attenuated by the reduced aorto-mesenteric angle.

Annotated images

ct

The aorto-mesenteric angle is reduced.

Case Discussion

Nutcracker syndrome describes the symptomatic presentation of the entrapment of the left renal vein between the aorta and the superior mesenteric artery. The normal aorto-mesenteric angle is 38-65 degrees.

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