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Case Reports
. 2019;79(2):150-153.

[Nutcracker syndrome]

[Article in Spanish]
Nery Sablón González  1 , Noel Lorenzo Villalba  2 , Yanet Parodis López  3 , Paula González Díaz  1 , Jorge Boada Díaz  4 , Melek Kechida  5
Affiliations
  • PMID: 31048282
Free article
Case Reports

[Nutcracker syndrome]

[Article in Spanish]
Nery Sablón González et al. Medicina (B Aires). 2019.
Free article

Abstract
in English, Spanish

Nutcracker syndrome is a vascular anomaly consisting in the compression of the left renal vein between the superior mesenteric artery and the aorta. Clinical features in nutcracker syndrome include pelvic pain, flank pain, haematuria, gonadal varices or simply asymptomatic. We are presenting two cases, one of them with macroscopic haematuria and flank pain and the other was studied for hypertension but with previous antecedents of left renal vein embolization in the setting of varicocele. We discuss the clinical presentation as well as diagnostic and therapeutic aspects related to this syndrome.

El síndrome del cascanueces es una anomalía vascular en la que se comprime la vena renal izquierda a su paso entre la unión de la aorta y la arteria mesentérica superior, debido a un ángulo muy cerrado entre ambas arterias. Clínicamente puede presentarse como hematuria macro o microscópica, dolor episódico en flanco izquierdo, dolor pélvico, várices gonadales o simplemente cursar de forma asintomática. Presentamos dos casos clínicos, uno de ellos con dolor abdominal tipo cólico nefrítico y hematuria macroscópica y otro estudiado por hipertensión pero con antecedentes de embolización de la vena renal izquierda por varicocele izquierdo. Discutimos los aspectos clínicos, diagnósticos y terapéuticos de este síndrome.

Keywords: haematuria; left renal vein; nutcracker syndrome.

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