Wilkie syndrome combined with nutcracker syndrome presented as syncopal episodes: A case report.
Combined aortomesenteric compression is an extremely rare vascular condition where both the duodenum (Wilkie) and the left renal vein (nutcracker) are compressed between the aorta and the superior mesenteric artery (SMA). The causal factor is the abnormal course of the SMA originating from the abdom…
Doppler ultrasound diagnosis of anterior nutcracker syndrome presenting with isolated urinary abnormalities.
Nutcracker syndrome is a vascular compression disorder caused by entrapment of the left renal vein between the abdominal aorta and the superior mesenteric artery, leading to renal venous hypertension and a spectrum of urinary and pelvic symptoms. We report the case of a 19-year-old male referred for…
Renal Amyloidosis in Pediatric Autoinflammatory Syndromes: Subclinical Onset, Early Biomarkers, and Clues for Timely Characterization and Interventions.
Background/Objectives: Autoinflammatory syndromes are defined by episodes of recurrent fever driven by innate immune dysregulation, yet their long-term organ consequences remain largely underestimated, mostly in children. Renal AA amyloidosis represents the most perilous complication of sustained, e…
Pelvic venous disorders and orthostatic intolerance: A systematic review of diagnostic associations and treatment outcomes.
Pelvic venous disorders (PeVD) are recognised causes of chronic pelvic pain; emerging evidence suggests that venous outflow obstruction or reflux can also provoke orthostatic intolerance (OI) by infra-diaphragmatic pooling and reduced preload. Diagnostic and therapeutic frameworks for this overlap r…
Association Between Di Distance and Left Renal Vein Compression in Nutcracker Syndrome.
To investigate the clinical significance of Di Distance, defined as the projected craniocaudal distance along the inferior vena cava (IVC) between the confluence levels of the left and right renal veins, in patients with Nutcracker Syndrome (NCS) and its potential role in disease pathogenesis. In th…
Cracking the nutcracker myth: CT-based risk stratification of symptomatic left renal vein Compression.
To evaluate computed tomography (CT) findings in patients with nutcracker anatomy and identify imaging features associated with clinically symptomatic nutcracker syndrome. This retrospective single-center study screened CT reports performed between 2015 and 2025 using terms related to nutcracker ana…
Open surgery appears to be the preferred treatment in patients with nutcracker syndrome: A vascular low frequency disease consortium analysis.
Nutcracker syndrome (NCS) is an uncommon vascular disease, characterized by anatomical compression of the left renal vein (LRV). Associated symptoms include flank and pelvic pain, as well as hematuria and varicocele. Our objective was to examine the contemporary management of NCS including diagnosti…
Stenting for symptomatic left renal vein compression in patients with complex pelvic venous disease is safe on long-term follow-up.
The ideal treatment for symptomatic left renal vein (LRV) compression continues to be debated, with several available open and endovascular options. Concerns about percutaneous stenting have been raised due to risk of stent migration, fracture, and erosion. This study aims to assess the long-term sa…