Nutcracker syndrome; a rare cause of hematuria

Nickavar, Azar

doi:10.15171/jnp.2016.27

Cited by 6 publications

(6 citation statements)

References 14 publications

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“…Renal nutcracker syndrome occurs when the left renal vein is compressed between the abdominal aorta and the superior mesenteric artery 3 . This is similar to the concept of superior mesenteric artery syndrome where the duodenum is compressed between the abdominal aorta and the superior mesenteric artery.…”

Section: Discussionmentioning

confidence: 77%

Breaking open the case of one patient's acute left flank pain: nutcracker syndrome

Bajkowski

Lagina

2020

JACEP Open

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Acute flank and abdominal pain represent a common presenting complaint in the emergency department. The etiology can be broad, ranging from the chest to the groin, from benign to catastrophic. There are common causes such as nephrolithiasis and pyelonephritis for which more than 1 million Americans are diagnosed with in the United States each year.1 Other etiologies are more rare and difficult to diagnose. The following case discusses a rare syndrome involving a young man with flank pain and a few other symptoms.

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Section: Discussionmentioning

confidence: 77%

Breaking open the case of one patient's acute left flank pain: nutcracker syndrome

Bajkowski

Lagina

2020

JACEP Open

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“…Anterior nutcracker syndrome consists of all manifestations caused by the compression of the left renal vein (LRV) between the aorta and the superior mesenteric artery (SMA) [1] . First described in 1937 by pathologist Grant, this syndrome remains unfortunately unknown to many physicians and often unrecognized.…”

Section: Introductionmentioning

confidence: 99%

Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain

Onka

Khouchoua

Yehouenou

et al. 2021

Radiology Case Reports

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The Nutcracker Syndrome is a rare and often unrecognized cause of chronic pelvic pain and left back pain. These symptoms are due to the left renal vein compression between the aorta and the superior mesenteric artery (anterior nutcracker) or between the aorta and the spine (posterior nutcracker). The variety of clinical manifestations make the diagnosis difficult and commonly delayed. Therefore, imaging plays a key role in correcting the diagnosis by confirming the left renal vein stenosis and ruling out any differential diagnosis. Treatment options are discussed by a multidisciplinary team involving urologists, nephrologists and vascular surgeons for each patient. We report the case of 2 patients presenting chronic pelvic and lower back pain in whom clinical investigation and CT imaging findings were consistent with a nutcracker syndrome.

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“…In the etiology of the disease, rapid growth in the puberty period is accused of maturation of vertebral body and angle between SMA and aorta narrows (2) . NCS typically presents with left flank pain, hematuria, orthostatic proteinuria, orthostatic intolerance, and gonadal varices (varicocele or ovarian vein syndrome) (1,3,4) . Diagnosis is made by ultrasonography, color Doppler ultrasonography, computed tomography angiography, or magnetic resonance angiography (5)(6)(7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

Our Clinical Experiences in Patients with Nutcracker Syndrome

Cömert¹,

Özdoğan²,

Bozoğlu³

et al. 2021

BUCH

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INTRODUCTION: Nutcracker syndrome (NCS) is a rare condition caused by the compression of the left renal vein between the abdominal aorta and superior mesenteric artery. The purpose of the study was to evaluate our management of NCS. METHODS: Patients were retrospectively reviewed and sex, age, main symptoms at application, physical examination, radiological findings, laboratory examinations, and treatment were recorded. RESULTS: 23 patients (16 girls, 7 boys; age range, 5 to 16) diagnosed with NCS. Microhematuria was detected with 14 (60.8%) patients before diagnosis. And four of 9 (39.1%) were determined after diagnosis. Microhematuria was not detected in 5 (21.7%) of the patients. All patients (100%) had orthostatic proteinuria. 17 (73.9%) patients had mild, 3 (13.0%) patients had moderate and 3 (13.0%) had severe proteinuria. The mean diameter of the left renal vein (LRV) at the aortomesenteric (AM) portions and the hilar were 1.69mm±0.70 and 8.01mm±2.27. The mean angle between the superior mesenteric artery and LRV was 25.26º±7.98. DISCUSSION AND CONCLUSION: In the case of especially colic flank pain, hematuria, and proteinuria NCS should keep in mind in the differential diagnosis. Surgical management may supply more enough clinic improvement when the patient has a response to medical therapy.

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Nutcracker syndrome; a rare cause of hematuria

Cited by 6 publications

References 14 publications

Breaking open the case of one patient's acute left flank pain: nutcracker syndrome

Breaking open the case of one patient's acute left flank pain: nutcracker syndrome

Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain

Our Clinical Experiences in Patients with Nutcracker Syndrome

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