EURORAD ESR

Case 863

Left Renal Vein Compression Syndrome

Author(s)
R.G.H. Beets-Tan, D. Koster, B.K. Janevski
 
Patient
male, 45 year(s)
 
 
  • Published 23.02.2001
  • DOI 10.1594/EURORAD/CASE.863
  • Section Cardiovascular
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 9034
  • Language(s)
  • Figure 1
    Selective phlebography of the left renal vein
     

    Selective phlebography of the left renal vein shows a cut-off of the renal vein at the site of crossing the abdominal aorta.

     
    Area of Interest: unknown; Imaging Technique: Selective phlebography of the left renal vein;

    The slow wash out of contrast medium from the left renal vein and drainage through paravertebral venous plexus are seen.

     
    Area of Interest: unknown; Imaging Technique: Selective phlebography of the left renal vein;
     
     
  • Figure 2
    CT of the abdomen

    Contrast enhanced CT scan of the abdomen demonstrates severe compression of the left renal vein between the aorta and the superior mesenteric artery with slight distention of the vein proximal to the site of...

     
    Area of Interest: unknown; Imaging Technique: CT of the abdomen;
     
     
Selective phlebography of the left renal vein shows a cut-off of the renal vein at the site of crossing the abdominal aorta.
 
The slow wash out of contrast medium from the left renal vein and drainage through paravertebral venous plexus are seen.
 
Contrast enhanced CT scan of the abdomen demonstrates severe compression of the left renal vein between the aorta and the superior mesenteric artery with slight distention of the vein proximal to the site of compression. The condition is known as the «nutcracker phenomenon» and is responsible for a venous obstruction causing varicocele and extensive pararenal collateral circulation.
 
 
 
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