Nutcracker phenomenon: An unusual presentation of acute aortic dissection.
Indian J Urol
; 29(1): 67-9, 2013 Jan.
Article
em En
| MEDLINE
| ID: mdl-23671371
ABSTRACT
We report a case of acute aortic dissection leading to compression of the left renal vein (LRV), thereby resulting in the nutcracker phenomenon. A 49-year-old previously healthy woman presented with intermittent gross hematuria and mild left flank pain of five days' duration. Laboratory examinations were within normal limits, except for the elevated C-reactive protein. Cystoscopy revealed bleeding from the left ureteral orifice. Contrast-enhanced computed tomography demonstrated acute Type B aortic dissection and compression of LRV between the enlarged aorta and superior mesenteric artery with an associated dilatation of the left gonadal vein as a collateral circulation.
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MEDLINE
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2013
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Article