Nutcracker occurs when the left renal vein is compressed between the abdominal aorta and the superior mesenteric artery. When symptomatic (left flank pain, hematuria) it is called nutracker syndrome. If asymptomatic is called nutcracker phenomena. In this example, the patient had complaints of pelvic congestion only.
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT).
Unusual cause of extremity pain in a diabetic patients
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.