Double nutcracker syndrome in a patient with circumaortic venous ring: a rare case report

Abstract

In this article, we describe a rare case of the nutcracker syndrome caused by combined compression of the left anteroaortic and retroaortic renal veins. Case description: A 42-year-old woman presented with microhematuria and left flank pain. The patient underwent computed tomography and Doppler ultrasound which showed the left renal veins with anteroaortic and retroaortic courses, with signs of compression. Compression of the anteroaortic renal vein was caused by a narrowing of the aortomesenteric space, whereas compression of the retroaortic renal vein was caused by a narrowing of the aortovertebral space.

Keywords

• nutcracker syndrome
• ultrasound
• cardiovascular abnormalities
• computed tomography
• magnetic resonance imaging