PAMJ Clinical Medicine (Mar 2020)

Posterior nutcracker syndrome: rare cause of hematuria: case report

  • Irzi Mohamed,
  • Tarik Mhanna,
  • Amine Houmaidi,
  • Mohammed Aynaou,
  • Wassim Alaoui Mhammedi,
  • Abdelghani Ouraghi,
  • Mohamed Moukhtari,
  • Chenoufi Mehdi,
  • Ahmed Jdaini,
  • Ali Barki

DOI
https://doi.org/10.11604/pamj-cm.2020.2.120.22224
Journal volume & issue
Vol. 2, no. 120

Abstract

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Nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein by the aorta and vertebral column. Although NCS had been described in many studies, her prevalence is still not known, usual clinical signs are gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 23-year-old male with intermittent hematuria and flank pain.

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