Hematuria as a Common Symptom of the Nutcracker Syndrome: Two Case Reports and Mini-review

Cheikh Sara *

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Kharrat Assia

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Soldi Chaimaa

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Elouati Achraf

Radiology Unit, University Hospital Ibn Rochd, Casablanca, Morocco.

Elkhayat Selma

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Mtioui Nouafal

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Zamd Mohamed Ali

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Medkouri Ghizlaine

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

Benghanem Mohamed

Nephrology, Dialysis and Renal Transplantation Unit, University hospital Ibn Rochd, Casablanca, Morocco.

*Author to whom correspondence should be addressed.


Abstract

Nutcracker syndrome results from compression of the left renal vein (LRV), usually in the range formed by the abdominal aorta and the superior mesenteric artery (SMA), leading to stenosis of the aorto-mesenteric part of the left renal vein and dilation of its distal part.

The symptomatology remains dominated by abdominal pain and hematuria. Its diagnosis is essentially based on modern imaging means (computed tomography, ultrasound-Doppler, phlebography) and its treatment is controversial. We report two observations of patients, the first admitted for intermittent macroscopic hematuria and the second for incidentally discovered microscopic hematuria, and whose radiological exploration revealed Nutcracker syndrome.

Keywords: Nutcracker syndrome, hematuria, left renal vein, vascular compression


How to Cite

Sara , Cheikh, Kharrat Assia, Soldi Chaimaa, Elouati Achraf, Elkhayat Selma, Mtioui Nouafal, Zamd Mohamed Ali, Medkouri Ghizlaine, and Benghanem Mohamed. 2024. “Hematuria As a Common Symptom of the Nutcracker Syndrome: Two Case Reports and Mini-Review”. Asian Journal of Research in Nephrology 7 (1):1-6. https://journalajrn.com/index.php/AJRN/article/view/71.


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