• Vol. 46 No. 12, 470–471
  • 15 December 2017

Unusual Clinical Presentation of Nutcracker Phenomenon



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A 34-year-old female presented with progressively worsening left flank pain. The pain was initially relieved by analgesics but subsequently increased in severity and frequency. There were no complaints of haematuria, dysmenorrhoea or dyspareunia. Physical examination was essentially unremarkable with no palpable abdominal mass or pelvic varicose veins. Urinalysis suggested mild urinary tract infection.

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