Hematuria as a Common Symptom of the Nutcracker Syndrome: Two Case Reports and Mini-review
Cheikh Sara, Kharrat Assia, Soldi Chaimaa, Elouati Achraf, Elkhayat Selma, Mtioui Nouafal, Zamd Mohamed Ali, Medkouri Ghizlaine, Benghanem Mohamed
Asian Journal of Research in Nephrology · pp. 1–6 · Published 19 Jan 2024
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.
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