2020DOAJ (DOAJ: Directory of Open Access Journals)Open access

Posterior nutcracker syndrome: rare cause of hematuria: case report

Mohamed Irzi, Tarik Mhanna, Amine El Houmaidi, Mohammed Aynaou, Wassim Alaoui Mhammedi, Abdelghani Ouraghi, Mohamed Moukhtari, Chenoufi Mehdi, Ahmed Jdaini, Ali Barki

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Abstract

Nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein by the aorta and vertebral column. Although NCS had been described in many studies, her prevalence is still not known, usual clinical signs are gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 23-year-old male with intermittent hematuria and flank pain.

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Nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein by the aorta and vertebral column. Although NCS had been described in many studies, her prevalence is still not known, usual clinical signs are gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 23-year-old male with intermittent hematuria and flank pain.

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Available abstract

Nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein by the aorta and vertebral column. Although NCS had been described in many studies, her prevalence is still not known, usual clinical signs are gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 23-year-old male with intermittent hematuria and flank pain.

Key concepts: Nutcracker syndrome, Left renal vein, Gross hematuria, Medicine, Flank pain, Back pain, Radiology, Surgery

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