Raras
Buscar doenças, sintomas, genes...
Síndrome quebra-nozes renal
ORPHA:71273CID-10 · Q27.8CID-11 · LA90.YDOENÇA RARA

Doença renal sindrômica rara caracterizada pelo aprisionamento da veia renal esquerda (VRE) entre a artéria mesentérica superior (AMS) e a aorta abdominal, resultando em aumento da pressão luminal, varizes hilares renais, hematúria e, no nível microscópico, ruptura de veias de paredes finas no sistema coletor em fórnices renais.

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Introdução

O que você precisa saber de cara

📋

Doença renal sindrômica rara caracterizada pelo aprisionamento da veia renal esquerda (VRE) entre a artéria mesentérica superior (AMS) e a aorta abdominal, resultando em aumento da pressão luminal, varizes hilares renais, hematúria e, no nível microscópico, ruptura de veias de paredes finas no sistema coletor em fórnices renais.

Pesquisas ativas
1 ensaio
2 total registrados no ClinicalTrials.gov
Publicações científicas
63 artigos
Último publicado: 2025 Oct

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adult
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q27.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫘
Rins
4 sintomas
🫃
Digestivo
2 sintomas
📏
Crescimento
2 sintomas
🩸
Sangue
1 sintomas
❤️
Coração
1 sintomas
🧠
Neurológico
1 sintomas

+ 14 sintomas em outras categorias

Características mais comuns

55%prev.
Proteinúria
Frequente (79-30%)
55%prev.
Varicocele
Frequente (79-30%)
55%prev.
Dor lombar
Frequente (79-30%)
55%prev.
Estenose da artéria renal
Frequente (79-30%)
55%prev.
Dilatação da artéria mesentérica
Frequente (79-30%)
55%prev.
Dor no flanco
Frequente (79-30%)
25sintomas
Frequente (9)
Ocasional (6)
Muito raro (10)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 25 características clínicas mais associadas, ordenadas por frequência.

ProteinúriaProteinuria
Frequente (79-30%)55%
Varicocele
Frequente (79-30%)55%
Dor lombarLow back pain
Frequente (79-30%)55%
Estenose da artéria renalRenal artery stenosis
Frequente (79-30%)55%
Dilatação da artéria mesentéricaDilatation of mesenteric artery
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2025
Total histórico63PubMed
Últimos 10 anos200publicações
Pico202533 papers
Linha do tempo
2025Hoje · 2026🧪 2021Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

🧬

Nenhum gene associado encontrado

Os dados genéticos desta condição ainda estão sendo catalogados.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico2
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 2 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome quebra-nozes renal

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

2 ensaios clínicos encontrados, 1 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
52 papers (10 anos)
#1

The Value of Robotic-Assisted Combined Left Renal Vein and Proximal Gonadal Vein Transposition for Nutcracker Syndrome: Preliminary Experience From a Single Centre.

The international journal of medical robotics + computer assisted surgery : MRCAS2026 Apr

This study compares outcomes of robotic Robotic-assisted left renal vein (LRV) transposition with and without proximal left gonadal vein (LGV) transposition for Nutcracker Syndrome (NCS). A retrospective analysis was conducted on 24 NCS patients. Group A (n = 13) had LRV transposition. Group B (n = 11) had combined LRV+ proximal LGV transposition. Outcomes including operative details, complications, symptom resolution, and renocaval pressure gradient (RPG) reduction. Operative time and hospital stay were similar between the groups. However, group B had a higher lymphatic leakage rate (64% vs. 8%; p = 0.0078) and required longer drainage (median 5 vs. 3 days; p = 0.02). Clinical symptoms improved in both groups. Group B achieved substantially greater RPG reduction (70% ± 15% vs. 55% ± 8%; p = 0.004). Robotic LRV and proximal LGV transposition for significant dilation is safe and effective. Despite higher short-term lymphatic morbidity, the combined approach offers greater reduction in RPG, providing a valuable alternative for selected patients. This research was also registered at the Chinese Clinical Trial Registry. The registration number is ChiCTR2500099335 (Link: https://www.chictr.org.cn/bin/project/edit?pid=261879).

#2

Diagnosis and management of nutcracker syndrome: Nursing considerations and a review of current practice.

Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing2026 Mar

Nutcracker Syndrome (NCS), the symptomatic manifestation of left renal vein (LRV) compression-commonly between the abdominal aorta and the superior mesenteric artery (SMA)-presents with a range of nonspecific symptoms including hematuria and flank or abdominal pain. Due to the vague clinical presentation, diagnosis is often delayed. Clinicians, particularly vascular nurses and advanced practice providers (APPs) should include NCS in the differential when evaluating unexplained hematuria and atypical abdominal or flank pain. Enhancing familiarity with diagnostic criteria for vascular nurses and vascular APPs can improve the quality of care for the patient and decrease time to diagnosis.

#3

Sonographic Hallmarks of Nutcracker Syndrome.

Ultrasound quarterly2026 Mar 01

Nutcracker syndrome (NCS) occurs when the left renal vein (LRV) is compressed between the aorta and superior mesenteric artery (SMA), which can manifest as hematuria, proteinuria, flank pain, and pelvic venous congestion as a sequela of renovenous hypertension. In the absence of symptoms, LRV compression is referred to as nutcracker anatomy or the nutcracker phenomenon. Though there are no currently formally accepted diagnostic pathways, US, CT, and MRI are frequently used to assess patients with NCS. The US is often the first imaging modality to be used in the workup of NCS. Doppler US is a way to measure blood flow velocity to suggest this diagnosis noninvasively. Two main US findings have been described in patients with NCS: a caliber reduction in the LRV >50% where it crosses the abdominal aorta and elevated peak systolic velocity at the level of obstruction. The anteroposterior diameter of the LRV hilar portion to its aortomesenteric portion of the LRV is compared with a ratio >4 described with NCS. In addition, the peak flow velocity of the LRV at the site of narrowing is compared to the flow velocity proximal to the narrowing, with a ratio greater than 5 described in patients with NCS.

#4

Diagnostic value of ultrasound in different positions for detecting nutcracker syndrome during physical examination of flying cadets.

European journal of radiology2026 Feb

To examine the ultrasonographic parameters and diagnostic efficacy of nutcracker syndrome (NCS) in two positions and thus to ensure accurate recruitment. According to the presence or absence of left varicocele, 184 teenagers from Air Force medical selection in 2024 were classified into the NCS-positive group or the control. Receiver operating characteristic (ROC) curve analysis was used to evaluate the diagnostic performance of ultrasound parameters in the seated anteversion and supine position. Independent predictors were determined via regression analysis. Individual and combined diagnostic prediction models were developed based on these independent predictors through nomogram and the calibration curve. ROC curve analysis showed the superior diagnostic efficacy for NCS in the seated anteversion position. Regression analysis identified two independent diagnostic predictors: the diameter ratio between the dilatation and stenosis of the left renal vein (D2/D1) and the peak velocity (V1) at the stenosis.And the combination of these two diagnostic parameters (the cutoff value of D2/D1: 2.38 and the cutoff value of V1: 69.5 cm/s) achieved an AUC of 0.821 with a sensitivity of 68.3 % and a specificity of 84.3 %. The calibration curve demonstrated good consistency between the predictions made by the nomogram and actual clinical observations. This study established the diagnostic criteria at the seated anteversion position for NCS, indicating that D2/D1 and V1 of left renal vein serve as independent diagnostic parameters. In the future, these criteria can enhance accuracy in aviation recruitment medical examinations.

#5

Robotic-assisted Kidney Autotransplantation for Nutcracker Syndrome: Surgical Technique and Results.

European urology2026 Mar

The nutcracker syndrome is a rare condition that occurs in young patients and can cause severe flank pain. The available surgical techniques often carry a risk of complications or morbidity. This study aims to describe robotic-assisted kidney autotransplantation for nutcracker syndrome and show its efficacy and safety. A retrospective study of all patients managed in our center by robotic-assisted kidney autotransplantation for symptomatic nutcracker syndrome was carried out. Patient demographics, operative time, hospitalization time, complications, management of postoperative pain, and patient-reported outcome measures (PROMs) were assessed. Thirty-four patients (30 female and four male) underwent surgery between January 2015 and December 2024, with a median age of 35 (Q1-Q3: 27-43) yr and a median body mass index of 20 kg/m2. The median operative time was 314 (Q1-Q3: 265-350) min, and the median hospital stay was 3 d. One procedure was converted to open surgery. Seven patients (21%) experienced complications within 3 mo, including five minor (Clavien-Dindo grade <3) and two major (Clavien-Dindo ≥3) complications, one of which required a nephrectomy. The median follow-up was 15 (Q1-Q3: 6-30) mo. PROMs were available for 29 patients. Nine patients (31%) reported complete symptom relief, 17 (59%) partial improvement, and three (10%) partial worsening of their symptoms. Robotic-assisted kidney autotransplantation can be a therapeutic option for the treatment of nutcracker syndrome, but it should be performed in an expert center for transplantation and robotic surgery. Further studies and long-term follow-up are needed.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC20 artigos no totalmostrando 195

2026

The Value of Robotic-Assisted Combined Left Renal Vein and Proximal Gonadal Vein Transposition for Nutcracker Syndrome: Preliminary Experience From a Single Centre.

The international journal of medical robotics + computer assisted surgery : MRCAS
2026

Diagnosis and management of nutcracker syndrome: Nursing considerations and a review of current practice.

Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing
2026

Sonographic Hallmarks of Nutcracker Syndrome.

Ultrasound quarterly
2026

Diagnostic value of ultrasound in different positions for detecting nutcracker syndrome during physical examination of flying cadets.

European journal of radiology
2025

Triple Abdominal Vascular Compression in a Young Woman: A Case Report of the Simultaneous Presentation of Superior Mesenteric Artery, Nutcracker, and May-Thurner Syndromes.

Cureus
2025

Single-center initial experience with minimally invasive extravascular stent placement for nutcracker syndrome in adolescent patients.

La Pediatria medica e chirurgica : Medical and surgical pediatrics
2025

Nutcracker syndrome in an Alport family: a tricky case.

Wiener klinische Wochenschrift
2026

Robotic-assisted Kidney Autotransplantation for Nutcracker Syndrome: Surgical Technique and Results.

European urology
2025

Non-Right Renal Vein Occlusion: A Side Clamp Two-Step Technique for Robot-Assisted Laparoscopic Transposition of the Left Renal Vein in Nutcracker Syndrome.

The international journal of medical robotics + computer assisted surgery : MRCAS
2025

Decision analysis of left renal vein stenting and renal autotransplantation for Nutcracker syndrome.

American journal of surgery
2025

Contemporary Management of Nutcracker Syndrome: A Systematic Review.

Annals of vascular surgery
2025

Use of Cryopreserved Vascular Allograft Reconstruction in Robotic-Assisted Kidney Autotransplantation for Nutcracker Syndrome After Failed Renal Vein Transposition: Description of a Novel Technique.

Surgical laparoscopy, endoscopy &amp; percutaneous techniques
2025

Circumaortic Left Renal Vein Causing Combined Nutcracker Syndrome: A Case Report and Literature Review.

Archivos espanoles de urologia
2025

Superior mesenteric artery transposition for Nutcracker and Wilkie syndrome.

Vascular diseases (Paris, France)
2025

Nutcracker syndrome caused by an enlarged splenic artery in a patient with cirrhosis: a case report.

The Pan African medical journal
2025

Robotic-assisted left renal vein transposition with distal gonadal vein anastomosis: A novel technique for dual venous drainage in nutcracker syndrome.

Journal of vascular surgery. Venous and lymphatic disorders
2025

Retrograde lumbar vein flow and epidural venous congestion in chronic headache patients with or without nutcracker phenomenon: An expanded database of 98 patients.

European journal of radiology
2025

Novel type of atypical renal nutcracker syndrome accompanied by accessory left renal artery - a case report and literature review.

Folia morphologica
2025

Saphenous Bypass for Treating Anterior Nutcracker Syndrome After Failed Renal Vein Transposition: A Case Report.

Vascular and endovascular surgery
2025

Pelvic congestion syndrome due to central venous outflow obstruction: A single-center experience with may-Thurner and nutcracker syndromes.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
2025

Abdominal vascular compression syndromes: A pictorial review.

European journal of radiology
2025

Numerical Simulation of Blood Flow in Nutcracker Syndrome: Acquisition of Hemodynamic Parameters and Clinical Application.

International journal for numerical methods in biomedical engineering
2025

Surgical Options and Outcomes for Renal Vein Entrapment.

Vascular and endovascular surgery
2025

Renal Parenchymal Damage and Persistent Hematuria after D-J Insertion: A Report on Two Cases.

Current medical imaging
2025

Varying clinical presentations of nutcracker syndrome: a case report.

Journal of medical case reports
2025

Case Report: Nutcracker Syndrome Triggered by Rapid Weight Loss in a Patient With Systemic Lupus Erythematosus.

International journal of rheumatic diseases
2025

Robot-assisted renal autotransplant for nutcracker syndrome following unsuccessful renocaval bypass.

BMJ case reports
2025

Superior mesenteric artery syndrome and nutcracker syndrome in a patient with pectus carinatum and spine scoliosis.

BMJ case reports
2025

Left renal vein transposition using autologous gonadal vein graft in patient with combined anterior nutcracker and May-Thurner syndromes.

BMJ case reports
2025

A unique case report of wilkie syndrome in a middle-aged female with posterior nutcracker syndrome.

BMC nephrology
2025

Double trouble: A case report of concurrent superior mesenteric artery syndrome and nutcracker syndrome in a previously healthy young adult.

International journal of surgery case reports
2024

Nutcracker Syndrome and its Exceptional Occurrence with Pulmonary Tuberculosis: A Case Report.

The Journal of the Association of Physicians of India
2024

Combined nutcracker syndrome and glomerulonephritis in pediatric patients: a single-center retrospective case series.

Kidney research and clinical practice
2024

SUPERIOR MESENTERIC ARTERY SYNDROME COUPLED WITH RENAL NUTCRACKER SYNDROME.

Journal of Ayub Medical College, Abbottabad : JAMC
2025

Prevalence of left kidney vein entrapment signs on computed tomography angiography images of kidney donors.

Folia morphologica
2025

Establishment and analysis of an animal model for nutcracker syndrome.

International urology and nephrology
2025

Minimally invasive treatment of nutcracker syndrome in a young girl.

Archivos argentinos de pediatria
2025

Nutcracker syndrome (a Delphi consensus).

Journal of vascular surgery. Venous and lymphatic disorders
2024

Renal nutcracker syndrome presenting with varicocele: A case series.

International journal of surgery case reports
2025

Renal autotransplant as a definitive treatment for nutcracker syndrome: A multicenter retrospective study.

Journal of vascular surgery. Venous and lymphatic disorders
2024

Autonomic Disturbances in Children with Nutcracker Syndrome: A Case Control Study.

Indian pediatrics
2025

Monocentric prospective study to valid multidisciplinary diagnostic and therapeutic approach for Nutcracker syndrome.

Phlebology
2024

Concurrent Encounter of Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Female Patient: A Case Report and Literature Review.

Cureus
2025

The superior mesenteric artery angle in diagnosis of nutcracker syndrome: a systematic review and meta-analysis.

Abdominal radiology (New York)
2024

Venous Compressive Disorders.

Techniques in vascular and interventional radiology
2024

A new notable compression source of left renal vein entrapment: right renal artery.

World journal of urology
2024

Vascular compression syndromes in the abdomen and pelvis: a concise pictorial review.

Abdominal radiology (New York)
2024

Robotic Renal Vein Bypass: A Novel Technique for Treating a Challenging Case of Nutcracker Syndrome.

Vascular and endovascular surgery
2024

Hemodynamics in nutcracker syndrome: implications for diagnosis.

Journal of nephrology
2024

Outcomes of conservative management in patients with nutcracker syndrome.

Phlebology
2024

Treatment of Nutcracker Syndrome with Left Renal Vein Transposition and Endovascular Stenting.

Annals of vascular surgery
2024

Anterior nutcracker anatomy-associated diseases: The superior mesenteric artery syndrome with or without the nutcracker phenomenon?

Asian journal of surgery
2024

Patient-Reported Outcomes for Robot-Assisted Laparoscopic Extravascular Renal Vein Stent Placements for Nutcracker Syndrome.

Journal of endourology
2024

Nutcracker syndrome: a case-based review.

Annals of the Royal College of Surgeons of England
2024

Nutcracker syndrome in pediatrics: initial findings and long-term follow-up results.

Pediatric nephrology (Berlin, Germany)
2023

An unusual case of intermittent proteinuria and nutcracker syndrome.

Asian journal of surgery
2024

Role of intravascular ultrasound in endovascular management of nutcracker syndrome: A case report.

Vascular
2023

Posterior Nutcracker Syndrome Caused by Abdominal Aortic Aneurysm: A Case Report.

Vascular specialist international
2023

Anterior and Posterior Nutcracker Syndrome Combined with May-Thurner Syndrome: First Report of This Unique Case.

Diagnostics (Basel, Switzerland)
2023

CT Evaluation of the Findings of Nutcracker Syndrome in Patients with Bladder Cancer after Radical Cystectomy and Ileal Neobladder Formation: A Correlation with Hematuria.

Journal of the Korean Society of Radiology
2023

Nutcracker Syndrome: Challenges in Diagnosis and Surgical Treatment.

Annals of vascular surgery
2022

Role of physical exercise in an overlooked nutcracker syndrome occurred in a patient with diaphragmatic relaxation: a case report.

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia
2023

Robotic-assisted combined transposition of left renal vein and gonadal vein as a novel treatment option for renal nutcracker syndrome: A case report.

Medicine
2022

Fortuitous Discovery of Nutcracker Syndrome During Acute Appendicitis: A Case Report.

Cureus
2023

Novel Use of Time-Resolved Magnetic Resonance Angiography to Evaluate Retrograde Lumbar Vein Flow and Epidural Venous Plexus Enhancement in Chronic Headache Patients With and Without Nutcracker Physiology.

Journal of computer assisted tomography
2022

An Unusual Cause of Abdominal Pain in a Middle-Aged Female: The Nutcracker Syndrome.

Cureus
2023

Systematic review of endovascular versus laparoscopic extravascular stenting for treatment of nutcracker syndrome.

Journal of vascular surgery. Venous and lymphatic disorders
2022

SUCCESSFUL RESOLUTION OF NUTCRACKER SYNDROME WITH 3D PRINTED PEEK EXTRAVASCULAR STENT IN AN ADOLESCENT BOY.

Acta clinica Croatica
2022

Nutcracker Phenomenon and Syndrome May Be More Prevalent Than Previously Thought.

Korean journal of radiology
2023

A rare cause of recurrent abdominal pain; the coexistence of Wilkie's syndrome and nutcracker syndrome.

Archivos argentinos de pediatria
2022

Endovascular treatment of nutcracker syndrome.

Kidney international
2022

Daily persistent headache with nutcracker physiology and spinal epidural venous congestion: Treatment with lumbar vein embolization.

Radiology case reports
2023

Laparoscopic placement of left renal vein extravascular stenting in treatment of nutcracker syndrome: Techniques and long-term outcomes.

International journal of urology : official journal of the Japanese Urological Association
2022

Anterior Renal Nutcracker Syndrome in an Older Adult Treated with Endovascular Stenting.

The Brown journal of hospital medicine
2022

A systematic review on nutcracker syndrome and proposed diagnostic algorithm.

Journal of vascular surgery. Venous and lymphatic disorders
2022

The Journey and Barriers to Treatment of Patients With Renal Nutcracker Syndrome.

Urology
2022

Bibliometric and visual analysis of research on nutcracker syndrome from 1974 to 2021: A systematic review.

Medicine
2023

Using the Resected Kidney for Transplantation After Nephrectomy for Nutcracker Syndrome.

The American surgeon
2022

Left renal vein entrapment in postural proteinuria: the diagnostic utility of the aortomesenteric angle.

European journal of pediatrics
2022

Pica with superior mesenteric artery syndrome and nutcracker syndrome as imaging manifestation: A case report.

Asian journal of surgery
2022

Nutcracker syndrome due to mesenteric lymphadenopathy after infectious enteritis.

Pediatrics international : official journal of the Japan Pediatric Society
2022

Surgical Treatment of Wilkie's Syndrome by Vascular Transposition.

Cureus
2022

[Trampolining-induced gross hematuria : Unmasking the nutcracker syndrome].

Urologie (Heidelberg, Germany)
2022

Aneurysm of the left ascending lumbar communicating vein: Its prevalence and possible association with nutcracker phenomenon.

Clinical imaging
2022

Vascular compression syndromes: the value of Doppler ultrasonography.

Radiologia
2022

Disruption of the glomerular basement membrane associated with nutcracker syndrome and double inferior vena cava in Noonan syndrome: a case report.

BMC nephrology
2022

Nutcracker syndrome in children: Appearance, diagnostics, and treatment - A systematic review.

Journal of pediatric surgery
2022

Clinical Profile and Renal Ultrasound Characteristics of Children With Nutcracker Syndrome in Turkey.

Indian pediatrics
2022

A Novel Approach for the Treatment of Nutcracker Syndrome: A Case Report.

Annals of vascular surgery
2022

Nutcracker Phenomenon as a Result of Celiomesenteric Trunk Aneurysm.

Annals of vascular surgery
2021

Atypical Posterior Nutcracker Syndrome in a 17-Year-Old Male Without Hematuria.

Cureus
2021

Left varicocele revealing a nutcracker phenomenon.

The Pan African medical journal
2021

An Uncommon Variant of Nutcracker Syndrome Secondary to Left Renal Vein Compression Between the Right Renal Artery and The Proper Hepatic Artery.

Annals of vascular surgery
2021

Posterior Nutcracker Syndrome: Stented Vein, No More Pain.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
2021

Coexisting nutcracker phenomenon and superior mesenteric artery syndrome in a patient with IgA nephropathy: A case report.

Medicine
2020

Endovascular treatment of a teenager with nutcracker syndrome: a case report.

Jornal vascular brasileiro
2021

Nutcracker Syndrome: How to Diagnose It and When/How Should It Be Treated in the Pelvic Venous Disease Population.

Techniques in vascular and interventional radiology
2021

[Nutcracker syndrome: a rare cause of abdominal pain in adults that shouldn't be ignored: a case report].

The Pan African medical journal
2021

Splenic vein enlargement, a rare cause of nutcracker syndrome.

Clinical case reports
2021

The utility of magnetic resonance angiography in children with nutcracker syndrome.

Turkish journal of medical sciences
2021

Haematuria without diagnosis? Think about the rare causes….

BMJ case reports
2021

The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders.

Phlebology
2021

Current results of left gonadal vein transposition to treat nutcracker syndrome.

Journal of vascular surgery. Venous and lymphatic disorders
2021

Diagnostic accuracy of the jetting sign and a dilatation ratio of left renal vein in CT urography for detecting anterior nutcracker syndrome.

Clinical radiology
2021

Endovascular management of nutcracker syndrome in an adolescent patient population.

Pediatric radiology
2021

It takes two great vessels to tango: fetal nutcracker phenomenon.

Ultrasound in obstetrics &amp; gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
2021

Posterior nutcracker syndrome: a case report.

Journal of medical case reports
2020

RENAL VEIN THROMBOSIS DUE TO POSTERIOR NUTCRACKER SYNDROME.

Methodist DeBakey cardiovascular journal
2021

Nutcracker syndrome accompanied by hypertension: a case report and literature review.

The Journal of international medical research
2021

Aortomesenteric clamp: association with Wilkie syndrome and nutcracker syndrome.

Revista espanola de enfermedades digestivas
2021

CT Angiography of Posterior Nutcracker Syndrome.

Radiology
2020

Two Peculiarities of the Nutcracker Syndrome: Rare Association with Multiples Thrombosis and Successful Medical Treatment (Pentoxifylline).

Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia
2021

Chronic abdominal pain and haematuria in internal medicine: do not forget about the Nutcracker syndrome.

Internal and emergency medicine
2021

Gonadal vein transposition is a safe and effective treatment of nutcracker syndrome.

Journal of vascular surgery. Venous and lymphatic disorders
2020

Endovascular treatment of anterior nutcracker syndrome and pelvic varices in a patient with an anterior and a posterior renal vein.

BMJ case reports
2020

Combined Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Patient: A Case Report and Review of the Literature.

The American journal of case reports
2020

Co-occurrence of compression syndromes: celiac axis stenosis, superior mesenteric artery and nutcracker syndrome.

Revista espanola de enfermedades digestivas
2020

Effect of visceral fat tissue on superior mesenteric artery configuration: Is it superior to BMI?

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology
2020

Acute Pulmonary Thromboembolism in a Patient with Nutcracker Syndrome and Antiphospholipid Syndrome.

International heart journal
2020

Serial ganglion impar blocks in a patient with nutcracker syndrome refractory to left renal vein transposition: a case report.

Journal of medical case reports
2020

Commentary to: "Eighteen years of experience with pediatric nutcracker syndrome: The importance of conservative approach".

Journal of pediatric urology
2020

Microsurgical gonadal-inferior epigastric vein anastomosis to treat the nutcracker phenomenon with left gonadal vein varices with reflux.

International urology and nephrology
2020

Prevalence of left renal vein compression (nutcracker phenomenon) signs on computed tomography angiography of healthy individuals.

Journal of vascular surgery. Venous and lymphatic disorders
2020

A Case of Nutcracker Syndrome Combined with Wilkie Syndrome with Unusual Clinical Presentation.

The American journal of case reports
2020

Nutcracker Syndrome-A Rare but Important Cause of Varicocele in Adolescent Boys.

Urology
2020

Nutcracker syndrome mimicking new daily persistent headache: A case report.

Cephalalgia : an international journal of headache
2020

Spontaneous spermatic vein thrombosis in pediatric patients: A condition to be considered.

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica
2020

Localized solitary left renal vein thrombus complicating nutcracker syndrome: a case report and review of the literature.

CEN case reports
2020

Renal Autotransplantation for Nutcracker Kidney after Prior Right Nephrectomy.

The American surgeon
2020

Unusual coexistence of double inferior vena cava with nutcracker syndrome-a case report and review of the literature.

The Journal of international medical research
2020

Robotic assisted extravascular stent placement for nutcracker phenomenon of the left renal vein: a case series.

Journal of robotic surgery
2020

Eighteen years of experience with pediatric nutcracker syndrome: the importance of the conservative approach.

Journal of pediatric urology
2020

Asymptomatic nutcracker phenomenon: entrapment of the left renal vein shown by CT without left flank or pelvic pain, or macroscopic haematuria.

BMJ case reports
2020

Nutcracker Syndrome as an Unusual Cause of Postprandial Pain.

Vascular and endovascular surgery
2019

Doppler US and CT Diagnosis of Nutcracker Syndrome.

Korean journal of radiology
2019

Left renal vein aneurysm in a young woman with renal nutcracker syndrome.

Journal of vascular surgery cases and innovative techniques
2019

Nutcracker syndrome complicated with intestinal malrotation.

BMJ case reports
2019

Left renal vein entrapment syndrome: nutcracker syndrome!

BMJ case reports
2019

A case report of a young girl with recurrent hematuria: a missed diagnosis - renal nutcracker syndrome.

BMC nephrology
2019

Outcomes of left renal vein stenting in patients with nutcracker syndrome.

Journal of vascular surgery. Venous and lymphatic disorders
2019

Ultrasound-assisted microsurgical left spermatic-inferior epigastric vein anastomosis for treating nutcracker syndrome-associated varicocele.

International urology and nephrology
2019

Laparoscopic Duodenojejunostomy for Superior Mesenteric Vein Syndrome Associated with Nutcracker Phenomenon: The First Case Report.

The American journal of case reports
2019

Renal autotransplantation results in pain resolution after left renal vein transposition.

Journal of vascular surgery. Venous and lymphatic disorders
2019

Renosplenic Shunt and Splenic Varix Related to Posterior Nutcracker Phenomenon.

Vascular and endovascular surgery
2019

Nutcracker Syndrome Accompanying With Superior Mesenteric Artery Syndrome: A Case Report.

Clinical medicine insights. Case reports
2019

A minimally invasive alternative for the treatment of nutcracker syndrome using individualized three-dimensional printed extravascular titanium stents.

Chinese medical journal
2020

Salvage Renal Autotransplant Following Previous Renal Vein Stenting in Nutcracker Syndrome.

Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation
2019

Urolithiasis with overdiagnosed nutcracker syndrome in a pediatric patient.

Pediatrics international : official journal of the Japan Pediatric Society
2019

Balloon angioplasty in a pediatric patient with nutcracker syndrome.

Pediatrics international : official journal of the Japan Pediatric Society
2019

The nutcracker syndrome: The usefulness of different MRI sequences for diagnosis and follow-up.

Clinical imaging
2019

An unusual association: median arcuate ligament syndrome and nutcracker syndrome.

Revista espanola de enfermedades digestivas
2019

Robot-Assisted Laparoscopic Left Renal Vein Transposition for the Treatment of Nutcracker Syndrome: A Preliminary Experience.

Annals of vascular surgery
2019

A New Technique: Laparoscopic Resection of Fibrous Ring and Placing Extravascular Stent in Patients With Nutcracker Syndrome: A Report of 5 Cases.

Urology
2018

Diagnosis and treatment of the Nutcracker syndrome: a review of the last 10 years.

Jornal vascular brasileiro
2019

In Situ Gonadal Vein Valvulotomy and Side-to-side Gonado-iliac Bypass for the Management of Nutcracker Syndrome in an Adolescent With a Solitary Kidney and Absence of Pelvic Congestion.

Urology
2019

Clinical Insights into Superior Mesenteric Artery Syndrome with Multiple Diseases: A Case Report.

Digestive diseases and sciences
2018

Two-Year Follow-up on Laparoscopic Three-Dimensional Printed Extravascular Stent Placement for Posterior Nutcracker Syndrome.

Chinese medical journal
2019

Laparoscopic paraaortic lymph node dissection in a patient with nutcracker syndrome for rectal cancer - a video vignette.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
2019

Abdominal Pain Presenting as a Tight Squeeze on a Tchaikovsky Score.

Gastroenterology
2018

Evaluation of posterior nutcracker phenomenon using multisection spiral CT.

Clinical radiology
2019

Nutcracker Syndrome with the Superimposition of Thin Basement Membrane Syndrome.

Internal medicine (Tokyo, Japan)
2019

Left-sided inferior vena cava with nutcracker syndrome.

Clinical and experimental nephrology
2019

Endovascular treatment of posterior nutcracker syndrome with a new autoexpandable stent.

Journal of vascular surgery. Venous and lymphatic disorders
2018

Massively dilated common bile duct: an unusual aetiology for nutcracker phenomenon.

BMJ case reports
2018

Robot-assisted Kidney Autotransplantation: A Minimally Invasive Way to Salvage Kidneys.

European urology focus
2018

Co-occurring superior mesenteric artery syndrome and nutcracker syndrome requiring Roux-en-Y duodenojejunostomy and left renal vein transposition: a case report and review of the literature.

Journal of medical case reports
2019

Nutcracker Syndrome-An Unusual Case of Chronic Left Upper Abdominal Pain: A Case Report.

A&amp;A practice
2018

Association Between Left Renal Vein Entrapment and Varicocele Recurrence: A Cohort Study in 3042 Patients.

Scientific reports
2019

A middle-aged woman with microscopic hematuria detected at a medical check-up.

European journal of internal medicine
2019

Adolescent with intermittent haematuria.

Archives of disease in childhood. Education and practice edition
2017

[Microsurgical bypass for varicocele with nutcracker syndrome].

Zhonghua nan ke xue = National journal of andrology
2017

[Microscopic spermatic vein ligation for nutcracker phenomenon complicated with left varicocele].

Zhonghua nan ke xue = National journal of andrology
2018

Can nutcracker phenomenon cause glomerular hematuria?

Nephrology (Carlton, Vic.)
2018

Intravascular Ultrasound-Guided Endovascular Stenting of Renal Vein in Nutcracker Syndrome.

Vascular and endovascular surgery
2018

Robotic-assisted left renal vein transposition as a novel surgical technique for the treatment of renal nutcracker syndrome.

Journal of vascular surgery cases and innovative techniques
2018

Renal nutcracker syndrome in a young lady: unusual findings and endovascular management.

BMJ case reports
2017

Nutcracker syndrome in pregnancy: a worrying presentation of a benign condition.

The Ceylon medical journal
2017

What Each Clinical Anatomist Has to Know about Left Renal Vein Entrapment Syndrome (Nutcracker Syndrome): A Review of the Most Important Findings.

BioMed research international
2016

Case report of gross hematuria in the nutcracker syndrome resolved by renocaval reimplantation.

Vojnosanitetski pregled
2018

A systematic review on management of nutcracker syndrome.

Journal of vascular surgery. Venous and lymphatic disorders
2017

Superior Mesenteric Artery Syndrome Combined with Renal Nutcracker Syndrome in a Young Male: A Case Report.

The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
2017

Incidental Anatomic Finding of Celiacomesenteric Trunk Associated with 'Nutcracker Phenomenon,' or Compression of the Left Renal Vein.

The American journal of case reports
2018

[Nephrotic syndrome and microhematuria in a patient with nutcracker syndrome: Report of a case and review of the literature].

Der Internist
2018

Posterior nutcracker syndrome - a systematic review.

VASA. Zeitschrift fur Gefasskrankheiten
2017

A Rare Case of Coexisting Superior Mesenteric Artery Syndrome and Nutcracker Phenomenon.

Sultan Qaboos University medical journal
2018

Robot-assisted laparoscopic extravascular stent for nutcracker syndrome.

Journal of robotic surgery
2017

Nutcracker Syndrome and Sickle Cell Trait.

Journal of general internal medicine
2018

Gonadal Vein Transposition in Nutcracker Syndrome.

Annals of vascular surgery
2017

Left Renal Vein Compression Syndrome: Cracking the Nut of Clinical Dilemmas - Three Cases and Review of Literature.

The American journal of case reports
2017

Renal nutcracker syndrome.

Acta medica academica
2017

Nutcracker syndrome: how are we cracking the nuts and whose nuts are we cracking?

International braz j urol : official journal of the Brazilian Society of Urology
2017

Surgically Treated Pelvic Pain Caused by Nutcracker Syndrome and Worsened by Cockett Syndrome in a Child.

Annals of vascular surgery
2017

Nutcracker Syndrome: Case Report on the Management of Recurrent Stenosis After Stenting.

Vascular and endovascular surgery
2017

Nutcracker Syndrome: An Update on Current Diagnostic Criteria and Management Guidelines.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
2017

Venous Compression Syndromes.

Vascular and endovascular surgery

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. The Value of Robotic-Assisted Combined Left Renal Vein and Proximal Gonadal Vein Transposition for Nutcracker Syndrome: Preliminary Experience From a Single Centre.
    The international journal of medical robotics + computer assisted surgery : MRCAS· 2026· PMID 41863778mais citado
  2. Diagnosis and management of nutcracker syndrome: Nursing considerations and a review of current practice.
    Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing· 2026· PMID 41819867mais citado
  3. Sonographic Hallmarks of Nutcracker Syndrome.
    Ultrasound quarterly· 2026· PMID 41705917mais citado
  4. Diagnostic value of ultrasound in different positions for detecting nutcracker syndrome during physical examination of flying cadets.
    European journal of radiology· 2026· PMID 41448021mais citado
  5. Robotic-assisted Kidney Autotransplantation for Nutcracker Syndrome: Surgical Technique and Results.
    European urology· 2026· PMID 41027814mais citado
  6. Triple Abdominal Vascular Compression in a Young Woman: A Case Report of the Simultaneous Presentation of Superior Mesenteric Artery, Nutcracker, and May-Thurner Syndromes.
    Cureus· 2025· PMID 41257099recente
  7. Nutcracker syndrome in an Alport family: a tricky case.
    Wien Klin Wochenschr· 2025· PMID 41051506recente
  8. Circumaortic Left Renal Vein Causing Combined Nutcracker Syndrome: A Case Report and Literature Review.
    Arch Esp Urol· 2025· PMID 40776879recente
  9. Novel type of atypical renal nutcracker syndrome accompanied by accessory left renal artery - a case report and literature review.
    Folia Morphol (Warsz)· 2025· PMID 40611729recente
  10. Abdominal vascular compression syndromes: A pictorial review.
    Eur J Radiol· 2025· PMID 40393099recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:71273(Orphanet)
  2. MONDO:0019105(MONDO)
  3. GARD:11971(GARD (NIH))
  4. Busca completa no PubMed(PubMed)
  5. Artigo Wikipedia(Wikipedia)
  6. Q1504516(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome quebra-nozes renal
Compêndio · Raras BR

Síndrome quebra-nozes renal

ORPHA:71273 · MONDO:0019105
Prevalência
Unknown
Herança
Unknown
CID-10
Q27.8 · Outras malformações congênitas especificadas do sistema vascular periférico
CID-11
Ensaios
1 ativos
Início
Adult
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C3178770
EuropePMC
Wikidata
Wikipedia
Papers 10a
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