Unusual clinical manifestations of the Nutcracker Syndrome

Abstract

The Nutcracker Syndrome, caused by compression of the left renal vein as it passes in a tight angle between the aorta and the superior mesenteric artery, usually presents with unexplained haematuria localized to the left ureteric orifice. We report on a series of cases where compression of the left renal vein caused prominent left-gonadal-vein reflux, which in turn resulted in lower-limb varices and varicocele formation.