Recurrent Hematuria Caused by Nutcracker Syndrome
| Autor: | Luis Javier Álvarez Fernández, Pablo Del Canto Peruyera, Marta Botas Velasco, María Vicente Santiago, Fernando Vaquero Lorenzo, Andrés Álvarez Salgado, Manuel Javier Vallina-Victorero Vázquez |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Renal Nutcracker Syndrome medicine.medical_specialty Vena Cava Inferior Inferior vena cava Asymptomatic Renal Veins Nutcracker syndrome Recurrence medicine.artery medicine Humans Superior mesenteric artery Vein Hematuria Computed tomography angiography Aorta medicine.diagnostic_test business.industry General Medicine Emergency department medicine.disease Surgery Treatment Outcome medicine.anatomical_structure medicine.vein cardiovascular system Female Radiology medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery. 28:1036.e15-1036.e19 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2013.05.021 |
| Popis: | A 26-year-old woman presented to the emergency department complaining of left flank pain, and proteinuria and hematuria were detected during urinalysis. A renal ultrasound did not reveal any disorder, and after performing a computed tomography angiography scan, compression of the left renal vein between the superior mesenteric artery and the aorta was seen. This compression is known as Nutcracker syndrome. From among the different treatment options available, it was decided, with patient consensus, to use open surgical management, performing a transposition of the left renal vein to a more distal level in the inferior vena cava. The immediate postoperative care progressed without complications and the symptoms resolved; after 1 year of surveillance, the patient continues to be asymptomatic. Nutcracker syndrome is a rare phenomenon, with few cases described. There are different therapeutic options for the treatment of Nutcracker syndrome, such as open surgery, endovascular treatment, or conservative treatment; because of the low prevalence of this syndrome, there are no sufficiently large series at present or with the necessary long-term surveillance to decide on the most suitable treatment. Distal transposition of the left renal vein in the inferior cava vein has proved to offer good long-term results, and this option offers a higher chance of resolution without the need for as many postsurgery controls as would be required with endovascular treatment. |
| Databáze: | OpenAIRE |
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