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.
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.
Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.