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.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.