Nutcracker Syndrome and its Exceptional Occurrence with Pulmonary Tuberculosis: A Case Report
No Thumbnail Available
Date
2024-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of Indian Medical Association
Abstract
Nutcracker syndrome (NCS), also known as left renal vein (LRV) entrapment syndrome, is a condition resulting due to compression of LRV between the aorta and superior mesenteric artery (SMA), with dilatation of the distal portion of LRV. We present a case of an elderly female presenting with left lumbar pain for 1 year. Initial investigations revealed microscopic hematuria and mild ascites. Further investigations revealed compression of LRV between the aorta and SMA, with aorto- SMA angle reduced up to 12°, suggesting a diagnosis of NCS. Along with this, cystic bronchiectasis with multiple centrilobular nodules with tree-in-bud pattern was seen in bilateral lung fields, suggestive of pulmonary tuberculosis. Ziehl–Neelsen (ZN) staining and cartridge-based nucleic acid amplification test (CBNAAT) confirmed our diagnosis of NCS with pulmonary tuberculosis.
Description
Keywords
Citation
Jelia SC, Ajmera D, Airan D, Meena Y, Bairwa R.. Nutcracker Syndrome and its Exceptional Occurrence with Pulmonary Tuberculosis: A Case Report. Journal of the Association of Physicians of India. 2024 Dec; 72(12): 97-98