Key result
Nutcracker phenomenon emerges as an important differential diagnosis for orthostatic proteinuria and hematuria.
Why the study?
Nutcracker phenomenon is a rare clinical condition that should be considered in the differential diagnosis of patients with proteinuria and hematuria.
Case Report (n=2)
Nutcracker phenomenon is a rare but important clinical condition to consider in the differential diagnosis of orthostatic proteinuria and hematuria.
May prompt selective evaluation in orthostatic proteinuria; case reports leave open prevalence and management guidance.
The nutcracker phenomenon refers to compression of the left renal vein between the aorta and the superior mesenteric artery. Clinical features are hematuria, abdominal pain, left flank pain, pelvic or scrotal discomfort due to varicocele or ovarian vein syndrome. In this report, 2 patients with orthostatic proteinuria, in whom nutcracker phenomenon was detected as a cause, are presented. One of them had posterior nutcracker with also asymptomatic varicocele that was detected during ultrasonographic examination. Nutcracker phenomenon is a rare but important clinical condition that should be considered in the differential diagnosis of patients with proteinuria and hematuria.
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Ekı̇m et al. (2006) conducted a case report in Orthostatic proteinuria and nutcracker phenomenon (n=2). Nutcracker phenomenon was evaluated on Detection of nutcracker phenomenon as a cause of orthostatic proteinuria. Nutcracker phenomenon was identified as a cause of orthostatic proteinuria in two patients, highlighting it as an important differential diagnosis for patients with proteinuria and hematuria.
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