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.
Painful varicoceles interfering with high school athletics
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.