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Nutcracker syndrome, conservative approach: a case report.
Muheilan Muheilan1, Anna Walsh1, Frank O'Brien1
1Department of Urology, Cork University Hospital, Cork, Ireland.
Journal of Surgical Case Reports
|October 27, 2022
Summary
The nutcracker syndrome (NCS) involves left renal vein compression, causing symptoms like hematuria. Accurate diagnosis and varied treatments are crucial for managing this rare condition.
Area of Science:
- Nephrology
- Vascular Surgery
- Radiology
Background:
- The nutcracker phenomenon (NCP) describes left renal vein compression, typically between the aorta and superior mesenteric artery (SMA).
- Nutcracker syndrome (NCS) is diagnosed when clinical symptoms align with imaging evidence of this anatomical anomaly.
Observation:
- A case of NCS presented with painless visible hematuria and left flank pain.
- Imaging confirmed left renal vein stenosis at the SMA origin, with evidence of collateral circulation.
Findings:
- Diagnosis of NCP utilizes various imaging modalities.
- Treatment options for NCS range from conservative management to surgical and endovascular interventions.
Implications:
- Accurate diagnosis requires correlating symptoms, lab results, and excluding other conditions.
- Establishing an International Consortium database can enhance understanding of this rare disease.
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