EC Clinical and Medical Case Reports

Introduction: Nutcracker syndrome is a rare and often unrecognized cause of hematuria. It results from compression of the left renal vein, typically between the abdominal aorta and the superior mesenteric artery, leading to stenosis of its aortomesenteric portion and dilation of its distal portion.

Case Report: We report the case of a 39-year-old woman who presented chronic abdominal pain and microscopic hematuria, in whom clinical and radiological findings were consistent with this syndrome.

Discussion: The variety of clinical manifestations makes the diagnosis difficult and often delayed. Therefore, imaging plays a key role in the diagnosis by confirming the stenosis of the left renal vein and ruling out any differential diagnosis. Its treatment remains controversial.

Conclusion: Nutcracker syndrome is a rare entity. Lack of awareness of this syndrome leads to diagnostic delays. Imaging plays a crucial role in confirming the diagnosis.

 Keywords: Nutcracker Syndrome; Left Renal Vein; Hematuria

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