Abstract

CAMPANA COBAS, Neri Georgina et al. A propos of two nutcracker syndrome cases. Rev Cubana Pediatr [online]. 2014, vol.86, n.3, pp. 390-396. ISSN 0034-7531.

Two male patients, who presented with nutcracker syndrome, were reported in this article. A seven years-old patient went to the doctor´s on account of hematuria and pain in his left flank whereas a 12 years-old patient suffered recurrent intense pain in his left flank and orthostatic proteinuria. The renal ultrasonography performed in both patients showed dilated left renal vein and anomaly of the upper mesenteric artery, all of which allowed suspecting of this disease. The tomography (angiotac) proved the vascular anomaly and allowed indicating an expecting symptomatic treatment. These two patients were seen at the medical service because both presented with the most frequent symptoms of the syndrome, that is, pain at flanks, macroscopic hematuria in one and orthostatic proteinuria in the other. Both of them also showed alterations from a previous nutcracker event. The renal ultrasound to look for dilation of the left renal vein and the path of the mesenteric artery allows making the final diagnosis that is further confirmed with other imaging studies.

Keywords : nutcracker syndrome; flank pain; hematuria; orthostatic proteinuria.

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