Doppler sonographic indices in diagnosing the nutcracker phenomenon in a hematuric adolescent

Kavukcu S., Kasap B., Goktay Y., SEÇİL M.

JOURNAL OF CLINICAL ULTRASOUND, cilt.32, sa.1, ss.37-41, 2004 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 1
  • Basım Tarihi: 2004
  • Doi Numarası: 10.1002/jcu.10222
  • Dergi Adı: JOURNAL OF CLINICAL ULTRASOUND
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.37-41
  • Anahtar Kelimeler: pediatrics, nutcracker phenomenon, Doppler ultrasonography, left renal vein, magnetic resonance angiography, LEFT RENAL-VEIN, ORTHOSTATIC PROTEINURIA
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

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. (C) 2003 Wiley Periodicals, Inc.