The exam was carried out to look for a cause of macroscopic hematuria. Renal vein thrombosis can be an important complication. The CT findings are consistent with nutcracker syndrome. Nutcracker syndrome describes the symptomatic presentation of the entrapment of the left renal vein between the aorta and the superior mesenteric artery. The normal aorto-mesenteric angle is … The most common clinical manifestation of the nutcracker syndrome is intermittent macroscopic hematuria, repeated episodes of gross hematuria and left flank pain.
Case Discussion. Its common clinical presentation is intermittent microscopic hematuria, repeated attack of gross hematuria as well as left loin pain as in the presentation of this case. In absence of other causes, the presence of compression of the left renal vein (nutcracker syndrome) is considered the likely cause of hematuria.The most common clinical manifestation of nutcracker syndrome is intermittent macroscopic hematuria, repeated episodes of gross hematuria, and left flank pain. The nutcracker syndrome has been associated with macroscopic hematuria, and since no other cause of hematuria (such as renal or urothelial malignancy) was found, … Case Discussion.