Posterior nutcracker syndrome

Nedaa Skeik, Peter Gloviczki, Thanila A. MacEdo

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Renal vein compression syndromes are rare causes of hematuria and can be divided into anterior and posterior nutcracker syndrome. When the left renal vein is compressed between the aorta and the superior mesenteric artery it causes anterior nutcracker syndrome. The posterior nutcracker syndrome is very rare and is considered when the left renal vein is compressed between the aorta and vertebral column. Symptoms of nutcracker syndromes may include intermittent left flank pain associated with hematuria, proteinuria, and sometimes with symptoms of pelvic congestion. Diagnosis is often difficult and plan for treatment is always challenging and requires careful evaluation of the patient's history and workup findings. We present a rare case report of a posterior nutcracker syndrome diagnosed in a young lady with long-standing symptoms that required surgical intervention.

Original languageEnglish (US)
Pages (from-to)749-755
Number of pages7
JournalVascular and Endovascular Surgery
Issue number8
StatePublished - Nov 2011


  • hematuria
  • nutcracker syndrome
  • renal vein compression

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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