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Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report.
Nabil A Al-Zoubi1, Ibrahim F Al-Ghalayini1,2, Radwan Al-Okour1,2
1Department of Surgery.
International Journal of Nephrology and Renovascular Disease
|December 22, 2017
Summary
Nutcracker syndrome, a rare condition causing renal vein entrapment, was found in a child with a celiacomesenteric trunk anomaly. This extremely uncommon association highlights a rare cause of hematuria in pediatric patients.
Area of Science:
- Vascular anatomy
- Pediatric nephrology
- Rare disease research
Background:
- Nutcracker syndrome involves left renal vein entrapment between the aorta and superior mesenteric artery, leading to renal venous hypertension.
- Symptoms range from asymptomatic hematuria to pelvic congestion.
- Celiacomesenteric trunk anomaly is a rare variation where celiac and superior mesenteric arteries share a common origin.
Observation:
- A 14-year-old boy presented with a three-year history of painless hematuria.
- CT-angiogram identified anterior nutcracker syndrome co-occurring with a celiacomesenteric trunk anomaly.
- The patient received conservative management with close monitoring.
Findings:
- This case represents an extremely rare association between nutcracker syndrome and celiacomesenteric trunk anomaly.
- The combined condition is an uncommon cause of hematuria in pediatric cases.
- The etiological relationship between the anatomical variations requires further investigation.
Implications:
- Awareness of this rare anatomical variation is crucial for surgical planning.
- Recognizing this association may help prevent iatrogenic injuries.
- Further research is needed to understand if the anomaly causes nutcracker syndrome or is merely coincidental.
