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- Vascular Compression Syndromes
- Do you have questions?
- Checklist vascular compression syndromes
- Description of your symptoms
- Researchers from the Mayo Clinic confirm my concept of the Midline Congestion Syndrome
- Explanation of gender-specific differences in the clinical symptoms of abdominal vascular compression syndromes: varicocele and penile/testicular pain – their main manifestation in men.
- Varicocoele is predominantly caused by left renal vein compression
- Musculoskeletal pecularities of female puberty
- Lordosis /Swayback- Origin of many abdominal compression syndromes
- Nutcracker-Syndrome is a misnomer! Lordogenetic left renal vein compression is a more appropriate name!
- May-Thurner-constellation (May-Thurner-syndrome, Cockett’s syndrome)
- Midline (congestion) syndrome
- Pelvic congestion syndrome
- Celiac Trunk Compression / Dunbar syndrome / MALS / Arcuate ligament syndrome
- Wilkie-Syndrome / Superior-mesenteric-artery-syndrome
- Compression of the vena cava inferior
- Evlauation of vascular compressions with the PixelFlux-method
- Connective tissue disorders predispose to multiple compressions
- Postural tachycardia syndrome (POTS) – the hemodynamic consequence of vascular compression syndromes and loose connective tissue
- Restless legs-a little known symptom of abdominal vascular compression syndromes
- Pudendal neuralgia in vascular compression syndromes
- Migraine and Multiple Sclerosis
- Treatment of vascular compression syndromes
- Fatal errors in the treatment of vascular compression syndromes
- Risks of stents in venous compression syndromes
- Surgical treatment of abdominal compression syndromes: The significance of hypermobility‐related disorders
- Nutcracker and May-Thurner syndrome: Decompression by extra venous tube grafting and significance of hypermobility related disorders
- Our surgical treatment of vascular compressions
- Vascular compression syndromes I recently detected
- Compression of the left renal vein by the duodenum
- A new vascular compression syndrome (17 October 2024) – Compression of the median cubital vein depending on the position of the elbow joint
- Compression of the vena cava inferior
- Detection of a new compression syndrome : Bilateral compression of the internal iliac vein between the psoas muscle and the internal iliac artery in a patient with chronic penile pain
- Diaphragmatic compression of the hepatic veins – a novel compression syndrome
- Post-prandial pain in the right upper abdomen due to a newly detected compression syndrome of the right renal vein
- A new sonographic sign of severe orthostatic venous pooling
- Gradually increasing, unbearable pain in the left flank only when standing or sitting – first description of a new compression syndrome
- A rare variant of Wilkie syndrome
- Kaleidoscope of instructive cases
- Stabbing pain below the right rib cage during and persistent after air travel
- Successful Treatment of Left Sided Varicocoele by Spinal Postural Adjustment – The Value of PixelFlux Guided Physical Training
- No more bladder self-catheterization after decompression of left renal and left iliac vein
- POTS – different from what you might think: an example
- Severe ataxia in a young woman with severe spinal congestion – complete resolution after decompression of the left renal vein
- Enigma resolved: vomiting during hip stretching
- Swollen bluish feet nausea unbearable epigastric and breast pain plus breathlessness
- Muscle cramps caused by a posture dependent pubic compression of the femoral artery
- Unbearable orthostatic pain in the autotransplanted left kidney
- Unbearable abdominal pain only while standing – easily diagnosed with PixelFlux
- Gradually increasing, unbearable pain in the left flank only when standing or sitting – first description of a new compression syndrome
- Abdominal pain due to liver compression in slipping rib syndrome in an EDS patient
- Genital and sexual symptoms of vascular compression syndromes – patient with ulcer of labia minora
- Posture dependent left flank / thoracic / lumbar pain – a new compression syndrome I recently detected
- Posture dependent unbearable breathlessness and fullness in the right upper abdomen due to a variable diaphragmatic compression of the hepatic veins and the vena cava inferior
- Migraines may develop in the wake of vascular compression syndromes
- Diaphragmatic compression of the liver veins with hepatic and intestinalis congestion
- Ultrasound Diagnostics
- Profile
- Functional colour Doppler ultrasound – how I do it
- Perfusion Measurement – PixelFlux-method
- Research
- Publications
- Nutcracker and May-Thurner syndrome: Decompression by extra venous tube grafting and significance of hypermobility related disorders
- Papers authored by Th. Scholbach
- Publications
- Inauguration of measurements of the tissue pulsatility index in renal transplants
- From nutcracker phenomenon to midline congestion syndrome and its treatment with aspirin
- First sonographic tissue perfusion measurement in renal transplants
- First sonographic bowel wall perfusion measurement in Crohn disease
- First sonographic renal tissue perfuison measurement
- First sonographic measurement of renal perfusion loss in diabetes mellitus
- PixelFlux measurements of renal tissue perfusion
- Why I prefer not to publish in journals but in the Internet
- Vessel stretching in nephroptosis – an important driver of complaints
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The tronc réno-rachidièn
The tronc réno-rachidièn is a peculiar vein connecting the left renal vein and the hemi-azygos vein. It is not described in current anatomic textbooks.
This vessel develops as an adaptation to increasing pressure inside the left renal vein which is regularly a consequence of a lordogenetic compression of the left renal vein in front of the bulging origin of the right renal artery or front of the ventral circumference of the aorta. Such a constellation can be frequently found in patients with an accentuated lordosis, and is very frequently observed in patients with hypermobile Ehlers-Danlos syndrome or other connective-tissue disorders with hyperflexibility.
Since this vessel is not mentioned in conventional anatomic textbooks and not taught in the medical curriculum it is regularly overlooked in standard imaging examinations.
The only references are in French scientific papers:
Ph. FRANTZl, A. JARDIN', J. ABOULKERJ, R. KUSS - La, Du, Veineux - 1986 Le tronc veineux réno-rachidien Les afférences veineuses réno-rachidiennes dans les myélopathies Chirurgie 103 - Bar et al. - 1977 son existence , sans en faire un mecanisme unique de discutait les modalites possibles de son role dans la apportee par la cure d ' u(2)
It is the leading cause of back pain and neurological symptoms in patients with severe left renal vein compression especially in cases where a May Thurner syndrome occurs simultaneously.
In order to spread the knowledge of this important vascular connection I a publish here some instructive images:
