Nutcracker Syndrome Symptoms And Treatment

Nutcracker Syndrome has very serious symptoms. If you suspect you may have nutcracker syndrome symptoms, read on for more information. This condition affects the veins of the kidney, carrying filtered blood from the kidney into the circulatory system. The veins of the kidney are located on the right and left sides of the body, respectively. The left renal vein is usually affected by the condition, leading to symptoms such as blood in the urine. While you may feel no pain or symptoms, your body may begin to feel weak or swollen.

Symptoms Of Nutcracker Syndrome

The underlying cause of renal nutcracker syndrome is relative venous hypertension of the left renal vein. So it is most often seen in thin young men or middle-aged women. The symptoms of this disorder are flank pain on the left side and hematuria, which may be microscopic or require transfusion. There is also a link between this syndrome and the relative increase in venous hypertension.

The first clinical manifestation of it is a flank pain and hematuria, which usually worsen with walking, sitting, or vibrating. Patients may also experience chronic fatigue and abdominal pain. Ultrasound imaging is often necessary to diagnose this syndrome and help determine if it is related to another disorder. A full diagnosis must make within a year of symptoms beginning. For more severe symptoms, surgery may be necessary.

nutcracker syndrome


Although the symptoms of nutcracker syndrome are not common, they are accompanied by rapid growth during puberty. Rapid growth causes body proportions to change, resulting in renal vein compression. While this disorder is not hereditary, it is not uncommon to notice symptoms in young children. A doctor will perform a physical examination, ask about your family medical history, and look for symptoms of nutcracker syndrome. Urine samples will check for blood and protein to determine whether your child is suffering from this disorder.

In patients with nutcracker syndrome, the left renal vein compress. This causes increased venous pressure in the renal circulation, which in turn promotes varices of the ureter and renal pelvis. Symptoms may include hematuria and flank pain. CT imaging and ultrasound can also confirm the diagnosis. However, vascular surgery requires in some patients. If you are unsure of your child’s symptoms, your doctor may recommend a blood transfusion.


There are two types of nutcracker syndrome. These cause a compression of the left renal vein, which is the main vein carrying blood from the kidney to the circulatory system. A blockage of the left renal vein leads to pain and bleeding in the flanks, abdomen, and even the testicles. Symptoms include blood in the urine and flank pain. MRI and CT scans require to diagnose the syndrome.

Surgery is one treatment for nutcracker syndrome. Surgical procedures, such as endovenous stenting, are both available. A small mesh tube (stent) is placed in a vein and anchored to the inner wall in this syndrome case. This procedure will restore normal blood flow. The procedure performs under a venogram. Once completed, patients will have a clear, measurable vascular flow again.


Symptoms of nutcracker syndrome include pain in the left flank and hematuria. Doppler ultrasound is the most effective imaging test for identifying this disorder. Point-of-care ultrasound is also helpful, but a high degree of clinical suspicion is needed to diagnose this disorder. Patients with nutcracker syndrome should receive surveillance as long as symptoms aren’t severe. Treatment is highly variable, but usually, surveillance is the most effective course of action.

The underlying cause of nutcracker syndrome is left renal vein compression between the aorta and the superior mesenteric artery. The syndrome manifests as left flank pain, abdominal pain, and unilateral haematuria. Treatment options include surgery and surveillance. Surveillance of nutcracker syndrome should perform whenever an underlying condition requires intervention. In addition to monitoring patients for nutcracker syndrome, the physician should monitor their vascular status for complications.


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