Right nutcracker syndrome associated with left-sided inferior vena cava, hemiazygos continuation and persistant left superior vena cava: a rare combination

Clin Imaging. 2014 May-Jun;38(3):340-5. doi: 10.1016/j.clinimag.2013.12.007. Epub 2013 Dec 21.

Abstract

The term nutcracker syndrome refers to compression of left renal vein between aorta and superior mesenteric artery causing renal venous hypertension. Right nutcracker syndrome associated with a left-sided inferior vena cava is an extremely rare anomaly. Reported two cases in English literature were diagnosed by ultrasonography and computed tomography angiography in adulthood. Herein, we present a case of right nutcracker syndrome with left-sided inferior vena cava and hemiazygos continuation in a 12-year-old girl.

Keywords: Doppler US; Left-sided inferior vena cava; MR angiography; Nutcracker syndrome.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Child
  • Female
  • Humans
  • Kidney / abnormalities*
  • Kidney / blood supply
  • Kidney / diagnostic imaging
  • Mesenteric Artery, Superior / abnormalities
  • Renal Nutcracker Syndrome / diagnostic imaging*
  • Renal Nutcracker Syndrome / etiology*
  • Renal Veins / abnormalities
  • Ultrasonography, Doppler, Color
  • Vena Cava, Inferior / abnormalities*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Superior / abnormalities*
  • Vena Cava, Superior / diagnostic imaging