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.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.