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Research Article Open access CC BY 4.0

The Nutcracker Syndrome: Rare Cause of Pediatric Abdominal Pain

J. Elmahi, S. Amhager, Y. Kriouel

Asian Journal of Pediatric Research · pp. 10–12 · Published 3 Nov 2022

10.9734/ajpr/2022/v10i3196

Abstract

Nutcracker syndrome results from compression of the left renal vein (LRV), usually in the fork 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. We report the case of a 10-year-old child, with no family history of renal disease, diabetes or hematuria. He was admitted to our clinic for paroxysmal abdominal pain in the epigastric area that was not improved by the usual analgesics, associated with vomiting without transit disorders or hematuria, and had been evolving for 10 days prior to his admission. The clinical examination was normal, the normal biological check-up, the abdominal CT scan was in favor of the Nutcracker syndrome. The treatment was symptomatic with a good evolution. Nutcracker syndrome is a rare entity, to be evoked in the diagnostic range of rare etiologies of unexplained abdominal pain.

Nutcracker syndrome hematuria abdominal CT scan left renal vein

References (11)

  1. 1 Nutcracker Phenomenon and Nutcracker Syndrome [DOI]
  2. 2 Nutcracker Syndrome: An Update on Current Diagnostic Criteria and Management Guidelines [DOI]
  3. 3 Diagnosis of the nutcracker syndrome with color Doppler sonography: correlation with flow patterns on retrograde left renal venography. [DOI]
  4. 4 The Nutcracker Syndrome [DOI]
  5. 5 Nutcracker syndrome [DOI]
  6. 6 Nutcracker Syndrome—How Well Do We Know It? [DOI]
  7. 7 Nutcracker syndrome: diagnosis with Doppler US. [DOI]
  8. 8 Nutcracker Syndrome in Children With Orthostatic Proteinuria [DOI]
  9. 9 Clinical Course of Children With Nutcracker Syndrome [DOI]
  10. 10 What Each Clinical Anatomist Has to Know about Left Renal Vein Entrapment Syndrome (Nutcracker Syndrome): A Review of the Most Important Findings [DOI]
  11. 11 Renal Doppler ultrasonography in the diagnosis of nutcracker syndrome. [DOI]

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