Síndrome “nutcracker” o cascanueces: demostración mediante tac helicoidal con reconstrucción “3d” (vr)

Martínez-Salamanca, Juan Ignacio; Amo, F. Herránz; Gutiérrez, I. Gordillo; Cordero, J.M. Díez; Ríos, D. Subirá; González, I. Castaño; Gárate, M. Moralejo; Benavente, R. Cabello; Fernández, C. Hernández

doi:10.1016/s0210-4806(04)73128-9

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Using Doppler study, it is possible to identify turbulent vessel renal flow [10, 13]. On the other hand CT scan best defines renal masses, stones and may show abnormal renal vessels or abdominal masses causing extrinsic compression [10, 14]. …”

Section: Discussionmentioning

confidence: 99%

Posterior Nutcracker Syndrome with Left Renal Vein Duplication: A Rare Cause of Haematuria in a 12-Year-Old Boy

Fernandes

Amorim

Gomes

et al. 2012

Case Reports in Urology

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The nutcracker syndrome (NCS) is a rare cause of haematuria. It embraces an extended nonpathognomonic spectrum of symptoms that imply a difficult diagnosis. Ultimately it may be associated with substantial morbidity and even life-threatening events. We report a rare cause if a 12-year-old boy who presented with a history of frequent intermittent episodes of painless constant haematuria. The cystoscopy showed a bloody urine ejaculate from the left ureter meatus. The Doppler ultrasonography showed turbulent pattern of venous blood flow of the posterior renal vein branch behind the aorta. The abdominopelvic computer tomography (apCT) revealed left renal vein (LRV) duplication with a dilated retroaortic branch, entrapped between the aorta and the vertebral column, promoting the renal nutcracker syndrome. The patient was initially hospitalized and managed with oral iron supplements and continuous saline bladder irrigation, not requiring additional treatment. The child is currently asymptomatic, with haemoglobin value returning to normal and therefore proposed to conservative management with close followup. The authors present a case report of episodic haematuria caused by a rare entity—posterior nutcracker syndrome with renal vein duplication.

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Section: Discussionmentioning

confidence: 99%

Posterior Nutcracker Syndrome with Left Renal Vein Duplication: A Rare Cause of Haematuria in a 12-Year-Old Boy

Fernandes

Amorim

Gomes

et al. 2012

Case Reports in Urology

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Tratamiento endovascular exitoso del síndrome de cascanueces con stent autoexpandible

Alcocer-Gamba¹,

Martínez-Chávez²,

Alcántara-Razo³

et al. 2012

Archivos de Cardiología de México

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Nutcracker's syndrome is caused by compression of the left renal vein between aorta and superior mesenteric artery, causing extrinsic compression generated functional stenosis. This causes congestion and hypertension of the left renal vein resulting in insufficiency and left gonadal vein varicose, unilateral hematuria and left flank pain, diagnosis is rarely identified by their low frequency and difficulty of suspecting, treatment of nutcracker's syndrome include renal autotransplantation, transposition of superior mesenteric artery revascularization and recently stenting in renal vein, we present the case of a patient, who showed this pathology by diagnostic support by image studies, was performed successfully implant a self-expanding stent with immediate success criteria by angiography, collateral reduction and by disappearance of cava/renal gradient.

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Síndrome del cascanueces: a propósito de un caso

Andrade¹,

Lavandeira

2017

SEMERGEN - Medicina de Familia

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Síndrome “nutcracker” o cascanueces: demostración mediante tac helicoidal con reconstrucción “3d” (vr)

Cited by 4 publications

References 7 publications

Posterior Nutcracker Syndrome with Left Renal Vein Duplication: A Rare Cause of Haematuria in a 12-Year-Old Boy

Posterior Nutcracker Syndrome with Left Renal Vein Duplication: A Rare Cause of Haematuria in a 12-Year-Old Boy

Tratamiento endovascular exitoso del síndrome de cascanueces con stent autoexpandible

Síndrome del cascanueces: a propósito de un caso

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