Posterior nutcracker syndrome with retroaortic left renal vein: A rare disease that still being overlooked | ||
| Zagazig University Medical Journal | ||
| Volume 31, Issue 8, August 2025, Pages 4166-4168 PDF (504.71 K) | ||
| Document Type: Short Reports (case reports) | ||
| DOI: 10.21608/zumj.2025.382636.3938 | ||
| Authors | ||
| Mohamed Elawdy* ; Bassam Awad; Mohamed Farouk Hussein Abdallah; Wael Toson | ||
| Ministry of Health, Ras Al Khaimah, United Arab Emirates | ||
| Abstract | ||
| Posterior nutcracker syndrome or retroaortic left renal vein (RARV) is a rare disease and is still being overlooked. In our case, A 10-year-old boy with irrelevant medical history and physical exam presented with gross hematuria. The initial evaluation that included urine, blood, and ultrasonography were normal. When hematuria responded to conservative treatment, patient discharged home. When he presented again after 3 months with the same complaint, computed tomography (CT) with contrast was requested that reported with no abnormalities. When patient came for the 3rd time with the same complaint, the previous CT angiography was reviewed and the diagnosis of RARV was overlooked in the CT report. When the diagnosis was established, conservative management was adopted because patient had stable Hb level with no other symptoms. Posterior nutcracker syndrome should be put in the differential diagnosis list in patients with recurrent and unexplained hematuria when the routine work-up shows no abnormalities. | ||
| Keywords | ||
| Nutcracker syndrome; retroaortic left renal vein; hematuria | ||
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