Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System
The nutcracker phenomenon is usually caused by compression of the left renal vein by the superior mesenteric artery anteriorly and the aorta posteriorly, although variations of this anatomy have previously been reported. We observed a nutcracker phenomenon in a 42-year-old female who underwent porta...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/579061 |
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| _version_ | 1849696128062193664 |
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| author | Maximilian Stephens Sarah Kate Ryan Roger Livsey |
| author_facet | Maximilian Stephens Sarah Kate Ryan Roger Livsey |
| author_sort | Maximilian Stephens |
| collection | DOAJ |
| description | The nutcracker phenomenon is usually caused by compression of the left renal vein by the superior mesenteric artery anteriorly and the aorta posteriorly, although variations of this anatomy have previously been reported. We observed a nutcracker phenomenon in a 42-year-old female who underwent portal venous phase computed tomography of the body for oncologic workup. She had no documented proteinuria or hematuria. Multiplanar reconstructions demonstrated an enhancing left renal vein draining into the left ovarian vein without draining into the inferior vena cava due to external compression immediately before the renocaval junction. The left renal vein was compressed between the right renal artery and the portal vein. This type of nutcracker has not been previously reported in the literature and represents a new variation. |
| format | Article |
| id | doaj-art-d59e8245a3f34539aa37b6ead03dfcd2 |
| institution | DOAJ |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-d59e8245a3f34539aa37b6ead03dfcd22025-08-20T03:19:33ZengWileyCase Reports in Vascular Medicine2090-69862090-69942014-01-01201410.1155/2014/579061579061Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous SystemMaximilian Stephens0Sarah Kate Ryan1Roger Livsey2University of Queensland School of Medicine, Herston Road, Herston, Brisbane, QLD 4006, AustraliaUniversity of Queensland School of Medicine, Herston Road, Herston, Brisbane, QLD 4006, AustraliaUniversity of Queensland School of Medicine, Herston Road, Herston, Brisbane, QLD 4006, AustraliaThe nutcracker phenomenon is usually caused by compression of the left renal vein by the superior mesenteric artery anteriorly and the aorta posteriorly, although variations of this anatomy have previously been reported. We observed a nutcracker phenomenon in a 42-year-old female who underwent portal venous phase computed tomography of the body for oncologic workup. She had no documented proteinuria or hematuria. Multiplanar reconstructions demonstrated an enhancing left renal vein draining into the left ovarian vein without draining into the inferior vena cava due to external compression immediately before the renocaval junction. The left renal vein was compressed between the right renal artery and the portal vein. This type of nutcracker has not been previously reported in the literature and represents a new variation.http://dx.doi.org/10.1155/2014/579061 |
| spellingShingle | Maximilian Stephens Sarah Kate Ryan Roger Livsey Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System Case Reports in Vascular Medicine |
| title | Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System |
| title_full | Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System |
| title_fullStr | Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System |
| title_full_unstemmed | Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System |
| title_short | Unique Nutcracker Phenomenon Involving the Right Renal Artery and Portal Venous System |
| title_sort | unique nutcracker phenomenon involving the right renal artery and portal venous system |
| url | http://dx.doi.org/10.1155/2014/579061 |
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