Abstract
Nutcracker syndrome is caused by a compression of the left renal vein between the aorta and the superior mesenteric artery. It results in left renal venous hypertension, and the subsequent development of venous varicosities of the renal pelvis, ureter, and gonadal vein. We report a rare case in an 8-year-old boy who presented with a history of intermittent episodes of hematuria leading to anemia and left flank pain. Ultrasound examination of abdomen revealed bulky left kidney and features of subacute medical renal disease. Computed tomography of abdomen showed compressed left renal vein between aorta and superior mesenteric artery. Authors report the successful operative management of this rare syndrome in a pediatric patient.
Highlights
Nutcracker syndrome (NCS) is quite rare condition and characterized by the compression of the left renal vein (LRV) between aorta and superior mesenteric artery (SMA) [1]
Clinical symptoms are usually caused by venous hypertension within the left kidney: leftflank pain that can radiate to the buttock and non-glomerular hematuria [3]
Low molecular weight heparin was given till 3rd post-op day and later patient was shifted to oral anticoagulants Patient had persistent hematuria and developed hypoalbuminemia for which blood transfusion and intravenous albumin infusion was given
Summary
Nutcracker syndrome (NCS) is quite rare condition and characterized by the compression of the left renal vein (LRV) between aorta and superior mesenteric artery (SMA) [1]. Introduction Nutcracker syndrome (NCS) is quite rare condition and characterized by the compression of the left renal vein (LRV) between aorta and superior mesenteric artery (SMA) [1]. The left renal vein (LRV) passes anteriorly across the abdominal aorta. In rare cases, the left renal vein becomes located in a retro-aortic position, http://www.pediatricurologycasereports.com
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
