Home Print this page Email this page Users Online: 138
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2018  |  Volume : 25  |  Issue : 2  |  Page : 127-131

Nutcracker syndrome presenting as recurrent hematuria


1 Department of Radiology, University of Benin, University of Benin Teaching Hospital, Benin, Edo, Nigeria
2 Department of Internal Medicine, Nephrology Unit, University of Benin Teaching Hospital, Benin, Edo, Nigeria

Correspondence Address:
Dr. Blessing Ose-Emenim Igbinedion
Department of Radiology, University of Benin Teaching Hospital, Benin, Edo
Nigeria
Login to access the Email id


DOI: 10.4103/wajr.wajr_45_17

Rights and Permissions

Nutcracker syndrome(NCS) occurs from compression of the left renal vein between the abdominal aorta and the superior mesenteric artery. It is rare and commonly presents with hematuria, flank pain, and dysuria. A 27-year-old male with sickle cell trait presented with a 9-month history of total hematuria complicated with anemia necessitating blood transfusion. He had no overt signs of urogenital infestation, renal impairment, or trauma. Genotype was AS. Intravenous urography was normal. On cystoscopy, the bleeding was seen to be coming through the left ureteral orifice. Renal angiography showed left renal venous stasis and contrast extravasation into the upper calyces. An impression of NCS was made. Other imaging modalities(computed tomography and ultrasound) supported NCS. NCS should be suspected in cases of recurrent hematuria.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed274    
    Printed2    
    Emailed0    
    PDF Downloaded7    
    Comments [Add]    

Recommend this journal