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RESIDENT’S CORNER

Gross hematuria caused by nutcracker syndrome and segmental pseudoaneursym

Timothy H. Atkinson, Matthew Love, Jamie Messer

Department of Urology, University of Louisville, Louisville, Kentucky, USA
Address correspondence to Dr. Timothy Atkinson, 234 E. Grey Street, Suite 662, Louisville, KY 40202 USA

Canadian Journal of Urology 2015, 22(2), 7745-7747.

Abstract

Nutcracker syndrome is a rare disorder characterized by extrinsic compression of left renal vein by the superior mesenteric artery and aorta. Prevalence of the disease is unknown, but presents most commonly with gross hematuria and fank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 29-year-old female with continuous gross hematuria and fank pain from a segmental artery pseudoaneursym secondary to nutcracker and pelvic congestion syndrome.

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