Abstract:

Nutcracker syndrome refers to the compression of the left renal vein, usually between the aorta and the superior mesenteric artery. Flank pain is the most common complaint and hematuria can be seen among the laboratory findings. This syndrome, which is more common in women with low body mass index, can be difficult to diagnose. A 41-year-old female patient with persistent left flank pain was admitted to our family medicine outpatient clinic. There was no finding that could explain the pain in the patient, who did not have any features in his history, despite many polyclinic applications. Computed tomography requested in our family medicine outpatient clinic revealed that the left renal vein was compressed between the aorta and the superior mesenteric artery, and the patient was diagnosed with nutcracker syndrome. Nutcracker syndrome is an exclusion diagnosis that should be considered in patients who present with atypical left flank pain that is difficult to diagnose. In the treatment, depending on the severity of the symptoms, a wide range of methods are applied, from conservative treatment to endovascular stenting and surgical treatment.

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