From Nutcracker Phenomenon to Nutcracker Syndrome: A Pictorial Review.

CT ECD nutcracker phenomenon nutcracker syndrome renal renovascular hypertension

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
11 Jan 2021
Historique:
received: 27 11 2020
revised: 02 01 2021
accepted: 06 01 2021
entrez: 14 1 2021
pubmed: 15 1 2021
medline: 15 1 2021
Statut: epublish

Résumé

Left renal vein (LRV) entrapment, also known as nutcracker phenomenon if it is asymptomatic, is characterized by abnormality of outflow from the LRV into the inferior vena cava (IVC) due to extrinsic LRV compression, often accompanied by demonstrable lateral (hilar) dilatation and medial (mesoaortic) stenosis. Nutcracker syndrome, on the other hand, includes a well-defined set of symptoms, and the severity of these clinical manifestations is related to the severity of anatomic and hemodynamic findings. With the aim of providing practical guidance for nephrologists and radiologists, we performed a review of the literature through the PubMed database, and we commented on the definition, the main clinical features, and imaging pattern of this syndrome; we also researched the main therapeutic approaches validated in the literature. Finally, from the electronic database of our institute, we have selected some characteristic cases and we have commented on the imaging pattern of this disease.

Identifiants

pubmed: 33440614
pii: diagnostics11010101
doi: 10.3390/diagnostics11010101
pmc: PMC7826835
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Antonio Granata (A)

Nephrology and Dialysis Unit, "Cannizzaro" Hospital, 95026 Catania, Italy.

Giulio Distefano (G)

Radiology Unit I, Department of Medical Surgical Sciences and Advanced Technologies "GF Ingrassia", University Hospital "Policlinico-San Marco", University of Catania, 95123 Catania, Italy.

Alessio Sturiale (A)

Nephrology and Dialysis Unit, "Cannizzaro" Hospital, 95026 Catania, Italy.

Michele Figuera (M)

Radiology Unit II, University Hospital "Policlinico-San Marco", 95123 Catania, Italy.

Pietro Valerio Foti (PV)

Radiology Unit I, Department of Medical Surgical Sciences and Advanced Technologies "GF Ingrassia", University Hospital "Policlinico-San Marco", University of Catania, 95123 Catania, Italy.

Stefano Palmucci (S)

Radiology Unit I, Department of Medical Surgical Sciences and Advanced Technologies "GF Ingrassia", University Hospital "Policlinico-San Marco", University of Catania, 95123 Catania, Italy.

Antonio Basile (A)

Radiology Unit I, Department of Medical Surgical Sciences and Advanced Technologies "GF Ingrassia", University Hospital "Policlinico-San Marco", University of Catania, 95123 Catania, Italy.

Classifications MeSH