CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 4  |  Page : 160-162

Nutcracker Syndrome in an 8-year-old Boy: A Rare Encounter


Department of CVTS, Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Chandan Kumar Ray Mohapatra
Department of CVTS, Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.180125

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The nutcracker syndrome is the clinical equivalent of nutcracker phenomenon characterized by compression of the left renal vein (LRV), most commonly between the aorta and the superior mesenteric artery, with impaired blood outflow often accompanied by distention of the distal portion of the vein. It is manifested by pain, hematuria, varicocele or lower or pelvic urinary symptoms. We present a case of an 8-year-old boy who presented with painless hematuria for 2 months. Multislice computed tomography angiography revealed obstruction, ectasia, and increased blood flow at the LRV level. After undergoing surgical treatment (LRV transposition), the patient is asymptomatic with complete resolution of his symptom.


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