Nutcracker syndrome in nephrology practice


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Nutcracker syndrome is a consequence of aorto-mesenteric compression of the left renal vein - compression of the left renal vein by the superior mesenteric artery with the development of left-sided renal phlebohypertension, pain in the left side and small pelvis, the appearance of proteinuria and hematuria. The relative rarity of the disease, the lack of clear clinical diagnostic criteria, the possible latent course with isolated urinary syndrome can lead to diagnostic errors. The article presents two cases of nutcracker syndrome, confirmed by data of multispiral computed tomography in 17- and 20-years old patients old, previously suffering from varicocele. Renal biopsy results excluded the suspected chronic glomerulonephritis as the cause of isolated urinary syndrome. The necessity of including aorto-mesenteric compression of the left renal vein with the development of renal venous hypertension in the diagnostic algorithm in patients with isolated urinary syndrome is emphasized.

Толық мәтін

Рұқсат жабық

Авторлар туралы

E. Movchan

Novosibirsk State Medical University

Email: eamovchan@gmail.com
PhD in Medical Sciences, Professor of the Department of Internal Diseases n.a. Acad. L.D. Sidorov

Ya. Manakova

State Novosibirsk Regional Clinical Hospital

PhD in Medical Sciences, Head of the X-ray Department, State Novosibirsk Regional Clinical Hospital, Associate Professor at the Department of Radiology Diagnostics

E. Galkina

State Novosibirsk Regional Clinical Hospital

PhD in Medical Sciences, Head of the X-ray Department, State Novosibirsk Regional Clinical Hospital, Associate Professor at the Department of Radiology Diagnostics

T. Telegina

State Novosibirsk Regional Clinical Hospital

PhD in Medical Sciences, Anatomopathologist at the Department of Morbid Anatomy

Әдебиет тізімі

  1. El-Sadr A.R., Mina E. Anatomic and surgical aspects in the operative management of varicocele Urol. Cutaneous. Rev. 1950;54:257-262.
  2. De Schepper A. Nutcracker phenomenon of the renal vein causing left renal vein pathology J. Belg. Radiol. 1972;55:507-511.
  3. Российские клинические рекомендации по диагностике и лечению хронических заболеваний вен. FLEBOLOGIYA. 2018;3:146-240. Doi:10.17116/ flebo20187031146. doi: 10.17116/flebo20187031146.
  4. Polguj M., Topol M., Majos A. An unusual case of left venous renal entrapment syndrome: A new type of nutcracker phenomenon? Surg. Radiol. Anat. 2013;35;263-267. doi: 10.1007/s00276-012-1027-7.
  5. Kurklinsky A.K., Rooke T. W. Nutcracker phenomenon and nutcracker syndrome. Mayo Clin. Proc. 2010;85:552-559. doi: 10.1007/s00276-012-1027-7.
  6. Grimm L.J., Engstrom B.I., Nelson R.C., Kim C.Y. Incidental detection of nutcracker phenomenonon multidetector CT in an asymptomatic population: Prevalence and associated findings. J. Comput. Assist. Tomogr. 2013;37:415-418. doi: 10.1097/RCT.0b013e3182873235.
  7. Velasquez C.A., Saeyeldin A., Zafar M.A., Brownstein A.J., Erben Y. A systematic review on management of nutcracker syndrome. J. Vasc. Surg. Venous Lymphat. Disord. 2018;6:271-278. doi: 10.1016/j.jvsv.2017.11.005.
  8. Rudloff U., Holmes R.J., Prem J.T., Faust G.R., Moldwin R., Siegel D. Mesoaortic Compression of the Left Renal Vein (Nutcracker Syndrome): Case Reports and Review of the Literature. Ann. Vasc. Surg. 2006;20:120-129. doi: 10.1007/s10016-005-5016-8.
  9. Жуков О.Б., Верзин А.В., Пеньков П.Л. Регионарная почечная венная гипертензия и левостороннее варикоцеле Андрология и генитальная хирургия 2013;3:29-37. Doi: 0.17650/2070-9781-2013-3-29-37. клиническая нефрология №2 - 2019 Doi: 0.17650/2070-9781-2013-3-29-37.
  10. Hanna H.E., Santella R.N., Zawada E.T. Jr., Masterson T.E. Nutcracker syndrome: an underdiagnosed cause for hematuria? SDJ. Med. 1997;50(12):429-436.
  11. Hangge Р.Т., Gupta N., Khurana A., Quencer K. B., Albadawi H. Alzubaidi S.J., Knuttinen M-G., Naidu S.G., Oklu R.J. Degree of Left Renal Vein Compression Predicts Nutcracker Syndrome Clin. Med. 2018;7(5):107. Doi: 10.3390/ jcm7050107.
  12. Shin J.I., Park J.M., Lee J.S., Kim M.J. Effect of renal Doppler ultrasound on the detection of nutcracker syndrome in children with hematuria. Eur. J. Pediatr. 2007;166:399-404. Doi: 10.1007/ s00431-006-0252-7.
  13. Mahmood S.K., Oliveira G.R., Rosovsky R.P. An easily missed diagnosis: flank pain and nutcracker syndrome. BMJ Case Rep. 2013;2013. Doi: 10.1136/ bcr-2013-009447.
  14. Gulleroglu K., Gulleroglu B., Baskin E. Nutcracker syndrome. World J. Nephrol. 2014;63(4):277-281. doi: 10.5527/wjn.v3.i4.277.
  15. Sharp G., Glenn D. A Differential diagnosis of haematuria following a motor vehicle collision: nutcracker syndrome. Case Rep. Surg. 2015;2015:749182. doi: 10.1155/2015/749182.
  16. Nickavar A. Nutcracker syndrome: a rare cause of hematuria. J. Nephropathol. 2016;5(4):144-145. doi: 10.15171/jnp.2016.27.

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