Nutcracker syndrome as a rare cause of abdominal pain and hematuria in young women. About two cases

Authors

  • Alberto Kramer-Ramos Unidad de Medicina Familiar y Comunitaria. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia. España https://orcid.org/0000-0002-2118-9952
  • Ana Azahara García-Ortega Servicio de Radiología. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia. España
  • Vladimir Rosa-Salazar Unidad de Corta Estancia. Servicio de Medicina Interna. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia. España
  • María del Mar García-Méndez Unidad de Corta Estancia. Servicio de Medicina Interna. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia. España
  • Bartolomé García-Pérez Jefe Servicio de Medicina Interna. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia. España

DOI:

https://doi.org/10.32818/reccmi.a3n1a8

Keywords:

nutcracker syndrome, abdominal pain, hematuria, dyspareunia.

Abstract

The nutcracker syndrome is a pathology characterized by compression of the left renal vein, between the superior mesenteric artery and the abdominal aorta, sometimes being difficult to diagnose and complex treatment. It usually affects young women and is manifested mainly by abdominal pain and hematuria, causing many visits to the emergency services and specialists until the final diagnosis. We present two very illustrative cases of young women who after multiple consultations were finally diagnosed with nutcracker syndrome.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Kurklinsky AK, Rooke TW. Nutcracker phenomenon and nutcracker syndrome. Mayo Clin. Proc. 2010; 85(6): 552-559.

Novaes LFC, Da Silva Saguia LN, Di Migueli CA, De Castro Perin MA, Loprete FA, Santana NP, Chervin EL, Sinisgalli LAM, Gimenez MP. Young woman with nutcracker syndrome without main clinic manifestation: Hematuria-Case report. Int J Surg Case Rep. 2017 Jan 28; 31: 225-228.

Hobbs JT. The pelvic congestion syndrome. Brit. J. Hosp. Med. 1990; 43: 200–206.

Stephens M, Ryan SK, Livsey R. Unique nutcracker phenomenon involving the right renal artery and portal venous system. Case Rep Vasc Med. 2014; 2014: 579061.

Oteki T, Nagase S, Hirayama A, Sugimoto H, Hirayama K, Hattori K, Koyama A. Nutcracker syndrome associated with severe anaemia and mild proteinuria. Clin. Nephrol. 2004; 62(1): 62-65.

Kim JY, Joh JH, Choi HY, Do YS, Shin SW, Kim DI. Transposition of the left renal vein in nutcracker syndrome. Eur. J. Vasc. Endovasc. Surg. 2006; 31: 80-82.

Chen YM, Wang IK, Ng KK, Huang CC. Nutcracker syndrome: an overlooked cause of hematuria. Chang Gung Med. J. 2002; 25: 700-705.

Angerri O, De Gracia A, Ochoa C, Sangüedolce F, Llagostera S, Caparrós J. Síndrome del cascanueces (nutcracker) secundario a vena renal izquierda retroaórtica: tratamiento quirúrgico con transposición de la vena. Actas FundPuigvert. 2012; 31: 28-33.

Published

2018-04-30

How to Cite

1.
Kramer-Ramos A, García-Ortega AA, Rosa-Salazar V, García-Méndez M del M, García-Pérez B. Nutcracker syndrome as a rare cause of abdominal pain and hematuria in young women. About two cases. Rev Esp Casos Clin Med Intern [Internet]. 2018 Apr. 30 [cited 2024 Dec. 27];3(1):21-4. Available from: https://www.reccmi.com/RECCMI/article/view/245