Anterior Nutcracker Syndrome- How It Was Presented and Managed? - A Rare Case Report

Abstract

Anterior Nutcracker syndrome (NCS), also referred to as left renal vein entrapment syndrome, occurs due to extrinsic compression of the left renal vein between the abdominal aorta and superior mesenteric artery. NCS is a rare condition, and prevalence is equal among both genders. Clinically it may be asymptomatic, but the typical manifestations of this syndrome are hematuria, back pain, pelvic or flank pain on the left side, orthostatic proteinuria, and left- sided varicocele in male patients. A variety of imaging techniques like renal ultrasound, computed tomography renal angiography, magnetic resonance imagings (MRI) help to diagnose NCS. The treatment options, including conservative and surgical approaches, depend on the severity of symptoms.