{"id":"https://openalex.org/W7225160272","doi":"https://doi.org/10.1097/rc9.0000000000001240","title":"Posterior nutcracker syndrome managed with gonadal vein transposition in a 22-year-old woman: a case report","display_name":"Posterior nutcracker syndrome managed with gonadal vein transposition in a 22-year-old woman: a case report","publication_year":2026,"publication_date":"2026-11-03","ids":{"openalex":"https://openalex.org/W7225160272","doi":"https://doi.org/10.1097/rc9.0000000000001240"},"language":"en","primary_location":{"id":"doi:10.1097/rc9.0000000000001240","doi":"https://doi.org/10.1097/rc9.0000000000001240","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001240","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/rc9.0000000000001240","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160436949","display_name":"Feron G. Tefera","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Feron G. Tefera","raw_affiliation_strings":["Vascular Surgery Division, Department of Surgery, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vascular Surgery Division, Department of Surgery, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160436059","display_name":"Dawit T. Haile","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210160354","display_name":"Tikur Anbessa Hospital","ror":"https://ror.org/04ye60n79","country_code":"ET","type":"healthcare","lineage":["https://openalex.org/I4210160354"]},{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Dawit T. Haile","raw_affiliation_strings":["General Surgery Division, Department of Surgery, Black Lion Hospital, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery Division, Department of Surgery, Black Lion Hospital, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4210160354","https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119579972","display_name":"Hiwot Yegnaneh Anley","orcid":"https://orcid.org/0009-0007-5086-8480","observed_orcids":["https://orcid.org/0009-0007-5086-8480"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Hiwot Y. Anley","raw_affiliation_strings":["School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114411337","display_name":"Mihret S. Tesfaye","orcid":"https://orcid.org/0009-0000-7082-1515","observed_orcids":["https://orcid.org/0009-0000-7082-1515"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Mihret S. Tesfaye","raw_affiliation_strings":["School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":"https://orcid.org/0009-0000-7082-1515","affiliations":[{"raw_affiliation_string":"School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120211016","display_name":"Hable Dessalegn Yigzaw","orcid":"https://orcid.org/0009-0004-8087-1806","observed_orcids":["https://orcid.org/0009-0004-8087-1806"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Hable D. Yigzaw","raw_affiliation_strings":["School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160480671","display_name":"Milka A. Gebrewold","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Milka A. Gebrewold","raw_affiliation_strings":["School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":2090,"currency":"USD","value_usd":2090},"apc_paid":{"value":2090,"currency":"USD","value_usd":2090},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8785147,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12342","display_name":"Vascular anomalies and interventions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12342","display_name":"Vascular anomalies and interventions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12067","display_name":"Renal and Vascular Pathologies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/posterior-nutcracker-syndrome","display_name":"posterior nutcracker syndrome","score":1.0},{"id":"https://openalex.org/keywords/left-renal-vein-compression","display_name":"left renal vein compression","score":0.9160000085830688},{"id":"https://openalex.org/keywords/hematuria","display_name":"hematuria","score":0.8360000252723694},{"id":"https://openalex.org/keywords/inferior-vena-cava-anastomosis","display_name":"inferior vena cava anastomosis","score":0.8519999980926514},{"id":"https://openalex.org/keywords/ct-angiography","display_name":"CT angiography","score":0.7639999985694885},{"id":"https://openalex.org/keywords/venous-decompression","display_name":"venous decompression","score":0.6650000214576721}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9685999751091003},{"id":"https://openalex.org/C2781278258","wikidata":"https://www.wikidata.org/wiki/Q1504516","display_name":"Nutcracker syndrome","level":4,"score":0.9200000166893005},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5526999831199646},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5526000261306763},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.5461000204086304},{"id":"https://openalex.org/C2779774813","wikidata":"https://www.wikidata.org/wiki/Q132318","display_name":"Renal vein","level":3,"score":0.5048999786376953},{"id":"https://openalex.org/C2776348250","wikidata":"https://www.wikidata.org/wiki/Q3090687","display_name":"External iliac vein","level":3,"score":0.48510000109672546},{"id":"https://openalex.org/C2780520971","wikidata":"https://www.wikidata.org/wiki/Q2264329","display_name":"Abdominal aorta","level":3,"score":0.4821000099182129},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.4544999897480011},{"id":"https://openalex.org/C2781347138","wikidata":"https://www.wikidata.org/wiki/Q1024492","display_name":"Computed tomography angiography","level":3,"score":0.43650001287460327},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.43220001459121704},{"id":"https://openalex.org/C2992674684","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Flank pain","level":2,"score":0.41999998688697815},{"id":"https://openalex.org/C2777202286","wikidata":"https://www.wikidata.org/wiki/Q9609","display_name":"Vein","level":2,"score":0.37119999527931213},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.36090001463890076},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.35359999537467957},{"id":"https://openalex.org/C2776599846","wikidata":"https://www.wikidata.org/wiki/Q5145979","display_name":"Collateral circulation","level":2,"score":0.3479999899864197},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.3418000042438507},{"id":"https://openalex.org/C2780268226","wikidata":"https://www.wikidata.org/wiki/Q3555262","display_name":"Ovarian vein","level":3,"score":0.3386000096797943},{"id":"https://openalex.org/C2911204043","wikidata":"https://www.wikidata.org/wiki/Q132318","display_name":"Left renal vein","level":3,"score":0.32850000262260437},{"id":"https://openalex.org/C2777521186","wikidata":"https://www.wikidata.org/wiki/Q955020","display_name":"Renal pelvis","level":3,"score":0.328000009059906},{"id":"https://openalex.org/C19801646","wikidata":"https://www.wikidata.org/wiki/Q6693952","display_name":"Lower limbs venous ultrasonography","level":3,"score":0.3118000030517578},{"id":"https://openalex.org/C2780395675","wikidata":"https://www.wikidata.org/wiki/Q1427103","display_name":"Flank","level":2,"score":0.30160000920295715},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.29600000381469727},{"id":"https://openalex.org/C2779675326","wikidata":"https://www.wikidata.org/wiki/Q609202","display_name":"Renal colic","level":3,"score":0.2896000146865845},{"id":"https://openalex.org/C2780227381","wikidata":"https://www.wikidata.org/wiki/Q1357376","display_name":"Nephrectomy","level":3,"score":0.287200003862381},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.2824999988079071},{"id":"https://openalex.org/C2781046184","wikidata":"https://www.wikidata.org/wiki/Q367570","display_name":"Superior mesenteric artery","level":2,"score":0.2515000104904175}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/rc9.0000000000001240","doi":"https://doi.org/10.1097/rc9.0000000000001240","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001240","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1097/rc9.0000000000001240","doi":"https://doi.org/10.1097/rc9.0000000000001240","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001240","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W2005838397","https://openalex.org/W2095201994","https://openalex.org/W2126144875","https://openalex.org/W2133704748","https://openalex.org/W2565472266","https://openalex.org/W2602141346","https://openalex.org/W2775543018","https://openalex.org/W2979488804","https://openalex.org/W3050375183","https://openalex.org/W3180926321","https://openalex.org/W4236868953"],"related_works":["https://openalex.org/W3095811036","https://openalex.org/W2126144875","https://openalex.org/W4416358179","https://openalex.org/W2979488804","https://openalex.org/W7221161247","https://openalex.org/W4413466149","https://openalex.org/W4403453486","https://openalex.org/W2166912824","https://openalex.org/W4410586260","https://openalex.org/W3129028897"],"abstract_inverted_index":{"Introduction:":[0],"Nutcracker":[1],"syndrome":[2,149,206],"refers":[3],"to":[4,132,244],"a":[5,46,71,98,139,151,164,208,226],"condition":[6,211],"in":[7,49,167,183,196],"which":[8],"the":[9,27,34,37,83,91,103,113,116,133,198],"left":[10,53,92,108,123,171,199],"renal":[11,29,109,172,200],"vein":[12,30,110,126,173,192,223],"is":[13,31,150,181,194,207,225],"anatomically":[14],"entrapped.":[15],"A":[16,42],"rare":[17,152,209],"variant":[18],"of":[19,77,102,154],"this":[20],"syndrome,":[21,24],"posterior":[22],"nutcracker":[23,148,205],"occurs":[25],"when":[26],"retroaortic":[28],"compressed":[32],"between":[33,112],"aorta":[35,114],"and":[36,97,105,115,128,143,156,175,218,238],"vertebral":[38,117],"body.":[39],"Case":[40],"presentation:":[41],"22-year-old":[43],"woman":[44],"from":[45],"rural":[47],"town":[48],"Ethiopia":[50],"presented":[51],"with":[52,186,215,232],"flank":[54,158,220],"abdominal":[55],"pain":[56],"that":[57,212],"had":[58,70],"persisted":[59],"for":[60,229],"4":[61],"months.":[62],"Her":[63],"vital":[64],"signs":[65],"were":[66],"normal,":[67],"though":[68],"she":[69],"slightly":[72],"low":[73],"body":[74],"mass":[75],"index":[76],"18.75":[78],"kg/m":[79],"2":[80],".":[81],"During":[82],"physical":[84],"examination,":[85],"mild":[86],"tenderness":[87],"was":[88,144],"noted":[89],"over":[90],"flank.":[93],"Urinalysis":[94],"revealed":[95],"hematuria,":[96],"computed":[99],"tomography":[100,161],"angiogram":[101],"abdomen":[104],"pelvis":[106],"confirmed":[107],"compression":[111,174],"column.":[118],"The":[119],"patient":[120],"subsequently":[121],"underwent":[122],"ovarian":[124],"(Gonadal)":[125],"transposition":[127,193,224],"an":[129],"end-to-side":[130],"anastomosis":[131],"inferior":[134],"vena":[135],"cava.":[136],"She":[137],"experienced":[138],"smooth":[140],"postoperative":[141,240],"recovery":[142],"discharged.":[145],"Discussion:":[146],"Posterior":[147,204],"cause":[153],"hematuria":[155,217],"chronic":[157,219],"pain.":[159,221],"Computed":[160],"angiography":[162],"plays":[163],"central":[165],"role":[166],"diagnosis":[168],"by":[169],"demonstrating":[170],"collateral":[176],"venous":[177,201],"pathways.":[178],"Surgical":[179],"intervention":[180],"indicated":[182],"symptomatic":[184],"patients":[185,231],"persistent":[187,233],"or":[188],"disabling":[189],"symptoms.":[190],"Gonadal":[191,222],"effective":[195],"decompressing":[197],"system.":[202],"Conclusion:":[203],"vascular":[210],"may":[213],"present":[214],"unexplained":[216],"potential":[227],"treatment":[228],"selected":[230],"symptoms,":[234],"but":[235],"longer":[236],"follow-up":[237],"objective":[239],"imaging":[241],"are":[242],"needed":[243],"determine":[245],"long-term":[246],"outcomes.":[247]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-04T00:00:00"}
