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Nutcracker syndrome: an uncommon cause of frank hematuria: a case report

Article scientifique 2022 Anglais

Résumé

Abstract A 28-year-old young woman was referred to our urology consultation for hematuria associated with chronic left flank pain. The physical examination revealed tenderness on palpation of the left lumbar fossa (Visual analogue scale (VAS) = 5/10). Urinalysis confirmed the macroscopic hematuria. Abdomen computed tomography (CT) angiography revealed compressive trapping of the left renal vein (LRV) at the level of the aorto-mesenteric clamp. The diagnosis of nutcracker syndrome (NCS) in its anterior variant was made. The decision of our urology team in collaboration with the vascular surgeons was to opt for conservative treatment. During the last clinical follow-up dating back to18 months after the diagnosis, the patient had no macroscopic hematuria. She reported reduction in flank pain intensity (VAS= 2/10).

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Jelleli, N., Jemaa, M., Sakly, A., Jelleli, B., Zakhama, W., Chouaya, I., Sidhom, W., Chouaya, S., Binous, M. (2022). Nutcracker syndrome: an uncommon cause of frank hematuria: a case report. https://doi.org/10.21203/rs.3.rs-2176217/v1

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Auteur(s)

Nejmeddine Jelleli Mohamed Ben Jemaa A. Sakly Bilel Jelleli W. Zakhama Ines Chouaya Wael Sidhom Sabrine Chouaya Mohamed Yassine Binous

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