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The kidneys also termed as the renes, are the retroperitoneal organs situated in the posterior abdominal wall. The structures entering the hilar region from before backwards are the renal vein (RV), the renal artery (RA), and the renal pelvis (RP). The nutcracker phenomenon is described as the left renal vein (LRV), compressed between the AA and the superior mesenteric artery (SMA). In this case report we are presenting the renal hilar nutcracker phenomenon (NCP) where RLV was compressed between the antero-inferior renal artery and the posterior renal artery. The comprehension of these sorts of variations is crucial for surgeons, nephrologists, radiologists and anatomists.