Beyond bladder clots: Unmasking nutcracker syndrome in refractory hematuria: A case report

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-15 DOI:10.1016/j.radcr.2025.08.074

Asem Afana MD, Mostafa Amro MD, Yasmin Dahabreh MD, Mohammed AbuBaha MD, Hossam Salameh MD, Leena Amer Owaisi MD, Nour Aldeen Imad Abdeen MD, Nour Amjad Hamad MD, Rahaf Fares MD

引用次数: 0

Abstract

Nutcracker syndrome (NCS) is a rare cause of unexplained hematuria and flank pain. We report a 28-year-old woman with recurrent gross hematuria misdiagnosed as a urinary tract infection. Imaging revealed left renal vein compression from a narrow aortomesenteric angle. Stenting failed due to complications, and she improved with conservative management. This case highlights the importance of vascular imaging in cases of persistent hematuria and underscores the role of nonsurgical management when intervention is not feasible.

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超越膀胱血栓：揭露难治性血尿中的胡桃夹子综合征：1例报告

胡桃夹子综合征（NCS）是一种罕见的原因不明血尿和腹部疼痛。我们报告一个28岁的女性复发性肉眼血尿误诊为尿路感染。影像显示左肾静脉受压从狭窄的主动脉肠系膜角度。由于并发症支架植入失败，保守治疗后病情好转。本病例强调了血管成像在持续性血尿病例中的重要性，并强调了当干预不可行时非手术治疗的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.