Nutcracker syndrome and hypertension

Case contributed by A.Prof Frank Gaillard


Hypertension, and left flank pain

Patient Data

Age: 35 years
Gender: Female

CT upper abdomen

There is a reduced aorto-mesenteric angle, with entrapment of the left renal vein and significant stenosis.

Case Discussion

This case illustrates the features of nutcracker syndrome, also known as renal vein entrapment syndrome, and an uncommon cause of secondary hypertension. 

It should not be confused with  with superior mesenteric artery syndrome (aka Wilkie syndrome) which although also a superior mesenteric artery compression disorder, the SMA compresses the third part of the duodenum.

Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.

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Case information

rID: 8030
Published: 4th Jan 2010
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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