Nutcracker Syndrome and its Exceptional Occurrence with Pulmonary Tuberculosis: A Case Report

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dc.contributor.authorJelia, SCen_US
dc.contributor.authorAjmera, Den_US
dc.contributor.authorAiran, Den_US
dc.contributor.authorMeena, Yen_US
dc.contributor.authorBairwa, R.en_US
dc.date.accessioned2025-05-12T09:38:09Z
dc.date.available2025-05-12T09:38:09Z
dc.date.issued2024-12
dc.description.abstractNutcracker 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.en_US
dc.identifier.affiliationsSenior Professor, Department of General Medicine, Government Medical College, Kota, Rajasthan, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of General Medicine, Government Medical College, Kota, Rajasthan, Indiaen_US
dc.identifier.affiliationsResident Doctor, Department of General Medicine, Government Medical College, Kota, Rajasthan, Indiaen_US
dc.identifier.affiliationsResident Doctor, Department of General Medicine, Government Medical College, Kota, Rajasthan, Indiaen_US
dc.identifier.affiliationsResident Doctor, Department of General Medicine, Government Medical College, Kota, Rajasthan, Indiaen_US
dc.identifier.citationJelia 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): 97-98en_US
dc.identifier.issn0004-5772
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247342
dc.languageenen_US
dc.publisherJournal of Indian Medical Associationen_US
dc.relation.issuenumber12en_US
dc.relation.volume72en_US
dc.source.urihttps://doi.org/10.59556/japi.72.0718en_US
dc.titleNutcracker Syndrome and its Exceptional Occurrence with Pulmonary Tuberculosis: A Case Reporten_US
dc.typeJournal Articleen_US
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