Patient was presented with a nagging pain for one month in the left loin.
No signs of dysuria, polyuria or hematuria.
Ultrasound showed a normal appereance of both kidneys.
No signs for hydronephrosis or the presence of kidney stones.
By chance a retro-aortic vessel appeared joining the inferior vena cava in the orthotopic position.
On an abdominal CT scan the vessel was identified as a retro-aortic left renal vein ( RLRV) without the risk of compression.
RLRV is a rare condition with a prevalence of 1%-2%
RLRV is usually asymtomatic, it may cause loin pain and hematuria.
These symptoms are secondary to compression of the left renal vein between the abdominal aorta and vertebrae. This condition is known as posterior nutcracker syndrome ( PNCS).
Léon Magis is a highly skilled radiologic technologist renowned for his expertise in medical imaging. Graduating from Fontys University in 1994, he pursued further studies, specializing in musculoskeletal ultrasound in 1998 and completing management training in 2002. His commitment to excellence led him to Emrin Opleidingen, where he obtained certifications in MRI (2006) and cardiac MRI (2012) from Fontys Eindhoven. Joining Flexray in 2016, Magis specializes in ultrasound imaging of the abdomen, neck, genitals, and musculoskeletal system, as well as MRI, particularly in cardiac and stress imaging.
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