Nutcracker occurs when the left renal vein is compressed between the abdominal aorta and the superior mesenteric artery. When symptomatic (left flank pain, hematuria) it is called nutracker syndrome. If asymptomatic is called nutcracker phenomena. In this example, the patient had complaints of pelvic congestion only.
104 year old female with worsening left foot rest pain
A faster technique for embolization gonadal veins using large diameter coils
Presentation at Charring Cross Meeting London 2015