Posterior nutcracker syndrome
Diagnosis certain
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All findings seen in this case are in keeping with posterior nutcracker syndrome where the left renal vein is trapped by the aorta anteriorly and the spine posteriorly with resultant dilatation of its proximal portion and dilatation of all venous territories that drain in to the left renal vein, namely the left gonadal (ovarian/testicular) vein and left adrenal vein.
Due to stagnation of flow inside these vessels, they are more liable to thrombose with subsequent pelvic heaviness and varicosities. Possible recanalization Recanalization is notedpossible as seen in the left ovarian vein of this patient with subsequent pelvic heaviness and varicosities.
-<p>All findings seen in this case are in keeping with <a title="Posterior nutcracker syndrome" href="/articles/posterior-nutcracker-syndrome">posterior nutcracker syndrome</a> where the left renal vein is trapped by the aorta anteriorly and the spine posteriorly with resultant dilatation of its proximal portion and dilatation of all venous territories that drain in to the left renal vein, namely the left gonadal (ovarian/testicular) vein and left adrenal vein.</p><p>Due to stagnation of flow inside these vessels, they are more liable to thrombose. Possible recanalization is noted in the left ovarian vein of this patient with subsequent pelvic heaviness and varicosities. </p>- +<p>All findings seen in this case are in keeping with <a href="/articles/posterior-nutcracker-syndrome">posterior nutcracker syndrome</a> where the left renal vein is trapped by the aorta anteriorly and the spine posteriorly with resultant dilatation of its proximal portion and dilatation of all venous territories that drain in to the left renal vein, namely the left gonadal (ovarian/testicular) vein and left adrenal vein.</p><p>Due to stagnation of flow inside these vessels, they are more liable to thrombose with subsequent pelvic heaviness and varicosities. Recanalization is possible as seen in the left ovarian vein of this patient.</p>
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