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

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

JOURNAL OF CLINICAL ULTRASOUND, vol.32, no.1, pp.37-41, 2004 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 1
  • Publication Date: 2004
  • Doi Number: 10.1002/jcu.10222
  • Journal Name: JOURNAL OF CLINICAL ULTRASOUND
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.37-41
  • Keywords: pediatrics, nutcracker phenomenon, Doppler ultrasonography, left renal vein, magnetic resonance angiography, LEFT RENAL-VEIN, ORTHOSTATIC PROTEINURIA
  • Dokuz Eylül University Affiliated: Yes

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. (C) 2003 Wiley Periodicals, Inc.