Open AccessTwo Peculiarities of the Nutcracker Syndrome: Rare Association with Multiples Thrombosis and Successful Medical Treatment (Pentoxifylline)
Author(s) -
Y. Ben Ariba,
S. Achouch,
Marwa Omrani,
Imen Ourteni,
J. Labidi
Publication year - 2020
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.301182
Subject(s) - medicine , nutcracker syndrome , pentoxifylline , flank pain , surgery , gross hematuria , superior mesenteric artery , conservative treatment , microscopic hematuria , thrombosis , macroscopic hematuria , left renal vein , radiology , proteinuria , kidney , inferior vena cava
The nutcracker syndrome (NCS) is a rare condition characterized by the entrapment of the left renal vein between the superior mesenteric artery and the aorta. Clinically, it presents with hematuria, flank pain, and symptoms of pelvic venous congestion. It is more frequent in females. Conservative treatment is usually proposed children but in adults, NCS has to be treated by surgical or endovascular methods. Drug therapy is not proposed for the treatment of NCS. We report a case of a young patient who presented with recurrent gross hematuria. Our patient was treated with pentoxifylline three times daily and anti-coagulation, with a favorable outcome.