Authors :
M. Bendahhou Idrissi; H.Mochtari; K. Saoud; N. Mamouni; S. Errarhay; C. Bouchikhi; A. Banani; M. Ezzahi; M. Boubbou
Volume/Issue :
Volume 8 - 2023, Issue 1 - January
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3x5lcL4
DOI :
https://doi.org/10.5281/zenodo.7623503
Abstract :
Nutcracker syndrome includes all
manifestations related to venous stasis induced by stricture
of the left renal vein (LRV) in the fork formed by the
abdominal aorta and the superior mesenteric artery (SMA),
leading to stenosis of the aorto-mesenteric part of the left
renal vein and dilation of its distal part. The
symptomatology is dominated by lumbar, abdominal and
pelvic pain and microscopic hematuria. This syndrome can
be aggravated during the pregnancy from 16 SA, this is due
to the increase in renal plasma flow. Its diagnosis is based
essentially on modern imaging means (CT scan, Doppler
ultrasound, phlebography) and its treatment is
controversial. We report the case of a woman aged 37 years,
admitted with acute abdominal-pelvic pain with vomiting
complicated by severe hypotension in a pregnancy of 32
weeks of amenorrhea in whom imaging revealed an
inaugural nutcracker syndrome discovered for the first
time during this pregnancy.
Keywords :
Nutcracker Syndrome, Left Renal Vein, Pelvic Varices, Superior Mesenteric Artery, Ascites, 3rd Trimester Pregnancy.
Nutcracker syndrome includes all
manifestations related to venous stasis induced by stricture
of the left renal vein (LRV) in the fork formed by the
abdominal aorta and the superior mesenteric artery (SMA),
leading to stenosis of the aorto-mesenteric part of the left
renal vein and dilation of its distal part. The
symptomatology is dominated by lumbar, abdominal and
pelvic pain and microscopic hematuria. This syndrome can
be aggravated during the pregnancy from 16 SA, this is due
to the increase in renal plasma flow. Its diagnosis is based
essentially on modern imaging means (CT scan, Doppler
ultrasound, phlebography) and its treatment is
controversial. We report the case of a woman aged 37 years,
admitted with acute abdominal-pelvic pain with vomiting
complicated by severe hypotension in a pregnancy of 32
weeks of amenorrhea in whom imaging revealed an
inaugural nutcracker syndrome discovered for the first
time during this pregnancy.
Keywords :
Nutcracker Syndrome, Left Renal Vein, Pelvic Varices, Superior Mesenteric Artery, Ascites, 3rd Trimester Pregnancy.
