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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2018; 02(03): 197-200
DOI: 10.1055/s-0038-1675864
Case Report
Indian Society of Vascular and Interventional Radiology

Aortomegaly Causing Nutcracker Syndrome and Pelvic Congestion Syndrome

Krantikumar Rathod
1   Department of Radiology, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai, Maharashtra, India
,
Amit Sahu
1   Department of Radiology, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai, Maharashtra, India
,
Bhavesh Popat
1   Department of Radiology, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai, Maharashtra, India
,
Hemant Deshmukh
1   Department of Radiology, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai, Maharashtra, India
› Institutsangaben Funding None.
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Publikationsverlauf

Received: 10. Juli 2018

Accepted after revision: 18. Juli 2018

Publikationsdatum:
27. November 2018 (online)

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Abstract

The authors present an uncommon cause of pelvic congestion syndrome (PCS) secondary to anterior nutcracker syndrome, which was caused by aortomegaly. Positional flank and pelvic pain was the only presenting feature with no renal dysfunction. Early and significant decompression of left renal vein (LRV) via left ovarian vein resulted in preserved renal function with symptomatic pelvic varices. Endovascular management by left ovarian vein coiling and LRV stenting was done. They briefly review the etiopathology, imaging, treatment rationale, and management options for nutcracker and PCS.

Keywords

pelvic congestion syndrome - nutcracker syndrome - ovarian vein embolization - renal vein stenting - aortomegaly
 

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