A young male with nutcracker phenomenon and resistant hypertension

Nutcracker phenomenon is a vascular compression disorder. This is easily missed by routine diagnostic methods and it’s incidence is likely underestimated. We describe a male with resistant hypertension where CT Abdomen revealed posterior nut cracker phenomenon. His BP was controlled partially with three drugs including diuretic without any secondary cause for elevated blood pressure. At present he is on medical management planning for surgical intervention if not controlled.