Indian Journal of Urology
CASE REPORT
Year
: 2013  |  Volume : 29  |  Issue : 1  |  Page : 67--69

Nutcracker phenomenon: An unusual presentation of acute aortic dissection


Koichi Kodama1, Toru Noda2, Isamu Motoi1 
1 Department of Urology, Toyama City Hospital, Toyama, Japan
2 Department of Emergency, Toyama City Hospital, Toyama, Japan

Correspondence Address:
Koichi Kodama
Department of Urology, Toyama City Hospital, 2-1Imaizumi-hokubucho, Toyama, Toyama 939-8511
Japan

We report a case of acute aortic dissection leading to compression of the left renal vein (LRV), thereby resulting in the nutcracker phenomenon. A 49-year-old previously healthy woman presented with intermittent gross hematuria and mild left flank pain of five days«SQ» duration. Laboratory examinations were within normal limits, except for the elevated C-reactive protein. Cystoscopy revealed bleeding from the left ureteral orifice. Contrast-enhanced computed tomography demonstrated acute Type B aortic dissection and compression of LRV between the enlarged aorta and superior mesenteric artery with an associated dilatation of the left gonadal vein as a collateral circulation.


How to cite this article:
Kodama K, Noda T, Motoi I. Nutcracker phenomenon: An unusual presentation of acute aortic dissection.Indian J Urol 2013;29:67-69


How to cite this URL:
Kodama K, Noda T, Motoi I. Nutcracker phenomenon: An unusual presentation of acute aortic dissection. Indian J Urol [serial online] 2013 [cited 2020 Jan 28 ];29:67-69
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=1;spage=67;epage=69;aulast=Kodama;type=0