# Nutcracker syndrome caused by an enlarged splenic artery in a patient with cirrhosis: a case report

## TL;DR

A 40-year-old woman with cirrhosis developed nutcracker syndrome due to an enlarged splenic artery compressing her left renal vein.

## Contribution

This case report highlights a rare cause of nutcracker syndrome in cirrhotic patients due to an enlarged splenic artery.

## Key findings

- Nutcracker syndrome was caused by an enlarged splenic artery in a patient with cirrhosis and splenomegaly.
- The case emphasizes the need to consider unusual anatomical variations in cirrhotic patients with flank pain.
- Early diagnosis can guide management and prevent complications in such cases.

## Abstract

Nutcracker syndrome is a rare condition caused by the compression of the left renal vein. We present the case of a 40-year-old woman with cirrhosis and splenomegaly, who developed nutcracker syndrome secondary to an enlarged splenic artery compressing the left renal vein. This case highlights the importance of considering unusual anatomical variations in cirrhotic patients presenting with flank pain. Early diagnosis can guide appropriate management and avoid complications.