How are you? The posterior nutcracker syndrome is usually considered when the left renal vein is compressed between the aorta and vertebral column. This may present with symptoms such as intermittent left flank pain associated with hematuria, proteinuria, and sometimes with symptoms of pelvic congestion. Being a rare condition, diagnosis is often difficult and plan for treatment usually requires careful evaluation of the diagnostic tests as well as medical history of patient. The cause is not fully understood but renal anomalies or varicosities or abnormal branching of the superior mesenteric artery from the aorta are the most common factors and may be the cause of the infections. It is best that you discuss this also with your attending physician for proper evaluation. Take care and best regards.
Hi Dr. Santos,
Thank you for the reply! I am trying to gather as much information as possible, as my Doctor is on vacation all week. I received his phone call Friday afternoon and then he left on vacation. I am currently being seen by an Infectious Disease Doctor, Urologist, Nephrologist and our Family Doctor. Is Nutcracker Syndrome difficult to diagnose? I have had numerous CT Scans, MRI's, Ultrasounds and X-Rays over the last 13 months and it wasn't until my ER visit last week that my Urologist noticed this issue with my left kidney. I guess I'm just trying to understand the whole process.
Thank you kindly for your help!