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Doppler sonographic indices in diagnosing the nutcracker phenomenon in a hematuric adolescent
Author(s) -
Kavukcu Salih,
Kasap Belde,
Göktay Yiğit,
Seçil Mustafa
Publication year - 2004
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10222
Subject(s) - medicine , nutcracker syndrome , radiology , superior mesenteric artery , left renal vein , flank pain , renal vein , angiography , magnetic resonance imaging , magnetic resonance angiography , doppler sonography , gross hematuria , aorta , doppler ultrasound , surgery , kidney , inferior vena cava
Abstract Compression of the left renal vein between the aorta and the superior mesenteric artery, known as the nutcracker phenomenon, may cause gross or microscopic hematuria, pain in the flank, proteinuria, or a combination of these symptoms. We report the case of a hematuric adolescent diagnosed with a high index of suspicion by noninvasive Doppler sonography using the diagnostic indices of Doppler sonography established for adults with hematuria. Compression of the patient's left renal vein at the aortomesenteric portion and dilatation at the hilar portion were visualized by magnetic resonance angiography, which verified the diagnosis. © 2003 Wiley Periodicals, Inc. J Clin Ultrasound 32:37–41, 2004