Abstract
Classic nutcracker syndrome is caused by left renal vein compression between the superior mesenteric artery and aorta, leading to retrograde venous hypertension associated with such urinary abnormalities as hematuria or proteinuria. We describe a case of symptomatic nutcracker syndrome treated by means of stent placement in which hypertension in the left renal vein was caused by stenosis of this vein compressed by an aberrant right renal artery at a point closer to the inferior vena cava.
MeSH terms
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Adolescent
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Constriction, Pathologic / diagnostic imaging
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Constriction, Pathologic / drug therapy
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Fibrinolytic Agents / pharmacology
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Fibrinolytic Agents / therapeutic use
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Hematuria / diagnostic imaging*
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Hematuria / drug therapy
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Hematuria / physiopathology
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Humans
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Male
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Phlebography / methods
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Proteinuria / diagnostic imaging
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Proteinuria / drug therapy
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Proteinuria / physiopathology
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Renal Artery / diagnostic imaging*
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Renal Artery / drug effects
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Renal Veins / diagnostic imaging*
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Renal Veins / drug effects
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Syndrome