Síndrome de quebra-nozes (nutcracker) em uma mulher jovem em investigação por quadro de hematúria recorrente: um relato de caso

Abstract

The nutcracker syndrome, caused by compression of the left renal vein by the aorta and superior mesenteric arteries, is probably more prevalent in women, and it is caused by specific situations, such as renal ptosis and paucity of retroperitoneal fat. Hematuria, a typical symptom, is due to rupture of the thin-walled septum separating the veins of the urinary collecting system. Imaging tests may help with the diagnosis. The best treatment is still elusive, but there are several surgical approaches, such as intravascular stenting, and also a conservative management. Diagnosis is usually delayed, and the syndrome should be included in the differential of hematuria of unknown origin.

Causa rara de dolor abdominal recurrente; coexistencia del síndrome de Wilkie y el síndrome del cascanueces

“…Como resultado del aumento de la presión, pueden aparecer síntomas y hallazgos clínicos como hematuria, proteinuria ortostática, congestión pélvica, varicocele del lado izquierdo, hipertensión y dolor en fosa renal. 1,2 El síndrome de la AMS, conocido como síndrome de Wilkie (SW), se define como la compresión de la tercera porción del duodeno entre la AA y la AMS, que produce signos y síntomas inespecíficos. 3 A veces, esta afección puede acompañar al SC anterior.…”