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