Aug 10, 2010
I just recently had a major surgery for something called Nutcracker Syndrome. This Syndrome results most commonly from the compression of the left renal vein between the abdominal aorta (AA) and superior mesenteric artery (SMA), although other variants exist. The name derives from the fact that, in the sagittal view, the SMA and AA (with some imagination) appear to be a nutcracker crushing a nut (the renal vein). I was originally Diagnosed with Pelvic Congestion after complaining for many years of Chronic pelvic pain, left sided flank pain, lower back, and lower limbs.
My husband and I were also trying to conceive for 6 years and all the doctors could tell me was that I had a great looking uterus. I did, however have low ovarian reserve for someone my age. They finally listened to my pleas of pain in my pelvic and did a pelvic MRI on me only to discover I had Pelvic Congestion. I was dumbfounded. Everything I had read stated that only woman who have had multiple pregnancies develop this syndrome. After a failed IVF, and a couple attempts at chlomid, and folistm, I was still childless. My doctor then proceeded to give me the Pelvic Congestion Diagnosis and sent me away telling me to keep trying. I was so very unsatisfied, so I did my own research. I found Nutcracker Syndrome and was convinced that I had it. You see, since the renal vein is being compressed, not enough blood flows through it to your heart, so the body compensates by sending the blood downward through the pelvic creating the veriscosities and causing chronic to mild pain. Anyway, although the doctor assured me that I would not have this syndrome, he did listen to my demands to check for it, and I did have it.
I just want to warn all of the young woman who may be wrongly diagnosed to ask the doctors that if they are already going to do an MRI on the pelvic, then, to also include the kidneys to check for Nutcracker. I think it should be a standard procedure when a woman comes in complaining of chronic pelvic pain....
I am attaching a picture of my surgery scar to correct my Nutcracker Syndrome and I would also like to state that although I just had my surgery, my pelvic pain has improved dramatically.
I hope this helps someone!