Nutcracker Syndrome - Signs and Symptoms

Signs and Symptoms

NCS is associated with hematuria (which can lead to anemia) and abdominal pain (classically left flank pain).

Since the left gonad drains via the left renal vein it can also result in left testicular pain in men or left lower quadrant pain in women. Nausea and vomiting can result due to compression of the splanchnic veins. An unusual manifestation of NCS includes varicocele formation and varicose veins in the lower limbs. Another clinical study has shown that that nutcracker syndrome is a frequent finding in varicocele-affected patients and possibly, nutcracker syndrome should be routinely excluded as a possible cause of varicocele.

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