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Background: Nutcracker syndrome caused by compression of the left renal vein between the aorta and superior mesenteric artery is a non-glomerular cause of left renal bleeding and left varicocele. It has also been recognized to be an important cause of orthostatic proteinuria. Case report: A year-old male was evaluated due to recurrent macroscopic hematuria. Physical examination showed left varicocele.

Body mass index Urinalysis demonstrated hematuria and massive proteinuria. Renal biopsy showed mild mesangial glomerular proliferation. Cystoscopy showed hematuria originating from the left ureter.

With a diagnosis of nutcracker syndrome, the patient received conservative treatment. During follow-up, progressive remission of the recurrent episodes of hematuria and proteinuria was observed. The patient had no clinical symptoms or abnormal urinalysis. Conclusions: This case shows the relationship between the increase in body mass index and remission of nutcracker syndrome, manifested as left varicocele, hematuria and massive proteinuria.

All symptoms disappeared with the increase of body mass index, probably due to increase in retroperitoneal fat with improvement of the aortomesenteric angle of the left renal vein. All rights reserved. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search. Advanced Clipboard. Create file Cancel.

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Send even when there aren't any new results. Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Cite Favorites. Abstract Background: Nutcracker syndrome caused by compression of the left renal vein between the aorta and superior mesenteric artery is a non-glomerular cause of left renal bleeding and left varicocele. Similar articles A case report of a young girl with recurrent hematuria: a missed diagnosis - renal nutcracker syndrome.

Bin Dahman HA, et al. BMC Nephrol. Nutcracker syndrome associated with severe anemia and mild proteinuria. Oteki T, et al. Clin Nephrol. PMID: Clinical course of children with nutcracker syndrome. Alaygut D, et al. Epub Jun 2. Co-occurring superior mesenteric artery syndrome and nutcracker syndrome requiring Roux-en-Y duodenojejunostomy and left renal vein transposition: a case report and review of the literature. Heidbreder R. J Med Case Rep. Nutcracker syndrome. Gulleroglu K, et al. World J Nephrol.

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[Nutcracker Syndrome: Cause of Non-Glomerular Hematuria and Massive Proteinuria]

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Nefrologia Pediatrica


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