2025, Vol. 8, Issue 3, Part B
CT scan diagnosis of nutcracker syndrome about two cases report at the CNHU HKM of Cotonou
Author(s)
Ayi Megnanglo CA, Bori Bata AK, Gbegnide SLPC, Whenu P, Sansuamou ET, Adjadohoun SBMG and Yekpe Ahouansou P
Abstract
Nutcracker syndrome is the compression of the left renal vein between the superior mesenteric artery and the abdominal aorta, causing symptoms related to renal congestion. We report two cases whose diagnosis was confirmed on CT scan. They were two adolescents aged 14 and 15 years respectively. The first had been received for hypogastric pain with radiation to the left testicle and the second for left scrotal pain. Clinical examination in both cases concluded a grade III left varicocele and confirmed by testicular doppler ultrasound. The abdominal CT scan found in the first case a compression of the left renal vein with an aorto-mesenteric angle measured at 8° and a renal vein caliber at the clamp measuring 1.5 mm. The second presented with a mesenteric beak with an aorto-mesenteric angle measured at 15.2° and a ratio of hilar diameter of the left renal vein and the aorto mesenteric vein of about 3.75 confirming the diagnosis. Both patients had left renal vein transposition by laparotomy. Surgical follow-up was favorable.
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How to cite this article:
Ayi Megnanglo CA, Bori Bata AK, Gbegnide SLPC, Whenu P, Sansuamou ET, Adjadohoun SBMG, Yekpe Ahouansou P. CT scan diagnosis of nutcracker syndrome about two cases report at the CNHU HKM of Cotonou. Int J Radiol Diagn Imaging 2025;8(3):108-110. DOI:
10.33545/26644436.2025.v8.i3b.484
