HomeAnswersHematologynutcracker syndromeI have nutcracker syndrome along with other issues. Kindly help.

How can nutcracker syndrome, ovarian cysts, and extensive collateral vascular network be managed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At February 20, 2024
Reviewed AtFebruary 20, 2024

Patient's Query

Hi doctor,

I have nutcracker syndrome and it is really painful. I also have extensive collateral vascular network and ovarian cysts which puts pressure on my kidneys and it feels even more painful. I started using birth control (vaginal ring) since my doctor said that it will help me not get ovarian cysts anymore, but it did not work. I still have cysts and strong pain. Because of the extensive collateral vascular network, I started bleeding, and this is why the doctors do not recommend surgery for the nutcracker syndrome. The doctors also said that since this is a vascular surgery, I need to redo this surgery every five years to prevent the risk of thrombosis.

The nutcracker syndrome was diagnosed in the left kidney. The ovarian cysts are on both sides but the big ones are mostly on the left. The ovarian cyst is about 1.1 to 1.57 inches in size. Kindly help.

Hi,

Welcome to icliniq.com.

I am here to help you get the best medical advice.

I am sorry to hear about your health condition, and I am glad that you reached out to us. I will try to explain as much as possible and I will do my best to offer you help from my side. Nutcracker syndrome is a rare condition where compression of the left renal vein occurs between the aorta and the superior mesenteric artery. This can result in symptoms such as abdominal or flank pain, hematuria (blood in urine), and varicocele (enlarged veins in the scrotum in males). It is essential to consult a healthcare professional to confirm the diagnosis and discuss the treatment options. The management of nutcracker syndrome typically depends on the severity of symptoms and their impact on your daily life. Some potential treatment options that your healthcare provider may consider include:

  1. Conservative management: This may involve symptom management through pain medications, lifestyle modifications, and close monitoring of the condition.
  2. Interventional procedures: In some cases, interventional radiology procedures such as renal vein stenting or embolization may be considered to relieve the compression and improve the blood flow.
  3. Surgical intervention: In more severe cases or when other treatments have not been effective, surgical options, such as renal vein transposition or nephropexy, may be considered.

Regarding your extensive collateral vascular network and ovarian cysts putting pressure on your kidney, it is important to discuss these concerns with your healthcare provider. They can assess the specific details of your case and determine the most appropriate treatment plan based on your individual circumstances.

I hope you find this information helpful.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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