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A Case with Nutcracker Syndrome (NCS) with Intestinal Compression by Three-Dimensional Computed Tomography (3D-CT) Reconstruction
Katsunori Ogura1, Hiroshi Bando1,2iD*, Yoshinobu Kato1, Takafumi Kawata1, Yoshikane Kato1
1Kanaiso Hospital, Komatsushima, Tokushima, Japan
2Medical Research/Tokushima University, Tokushima, Japan
Corresponding Author: Hiroshi Bando ORCID iD
Address: Tokushima University /Medical Research, Nakashowa 1-61, Tokushima 770-0943, Japan.
Received date: 08 April 2025; Accepted date: 30 April 2025; Published date: 07 May 2025
Citation: Ogura K, Bando H, Kato Y, Kawata T, Kato Y. A Case with Nutcracker Syndrome (NCS) with Intestinal Compression by Three-Dimensional Computed Tomography (3D-CT) Reconstruction. Asp Biomed Clin Case Rep. 2025 May 07;8(2):89-94.
Copyright © 2025 Ogura K, Bando H, Kato Y, Kawata T, Kato Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Nutcracker Syndrome, Three-Dimensional Computed Tomography, Synapse Vincent, Left Renal Vein, Left Ovarian Vein
Abbreviations: NCS: Nutcracker Syndrome; 3D-CT: Three-Dimensional Computed Tomography; LRV: Left Renal Vein; LOV: Left Ovarian Vein
Abstract
Authors have continued radiological research for the application of three-dimensional computed tomography (3D-CT) using Synapse Vincent, Japan. The patient was a 51-year-old female with bilateral flank pain. For plain and contrasted CT scan, artery and portal late phases showed possible nutcracker syndrome (NCS) or renal vein entrapment syndrome. 3D-CT images suggested that i) there was a clear relationship between the superior mesenteric artery (SMA) and inferior vena cava (IVC), ii) a collateral vessel for the left ovarian vein (LOV), and iii) compression of the small intestine on the left renal vein (LRV). Thus, her pathophysiological mechanism was probably supposed by the 3D-CT reconstruction technique method.