Nutcracker syndrome complicated with intestinal malrotation.
Nutcracker syndrome (NCS) is a pathological condition in which the left renal vein (LRV) is compressed between the superior mesenteric artery (SMA) and aorta. NCS can predispose patients to the onset of chronic kidney disease because of persistent increase in LRV pressure. Although NCS in children is often idiopathic, it can also be caused by underlying pathologies such as retroperitoneal tumours. To the best of our knowledge, there have been no reports regarding paediatric cases of NCS complicated with intestinal malrotation. Here, we report the case of a 12-year-old girl with intestinal malrotation complicated with NCS whose haematuria resolved after surgical intervention for intestinal malrotation. The present case findings indicate that intestinal malrotation with concomitant weight loss is a potential underlying aetiology in NCS. Thus, when NCS is especially diagnosed with gastrointestinal symptoms, intestinal malrotation should be considered as an underlying aetiology.
['Nishio|Yosuke|Y|http://orcid.org/0000-0003-3543-7491', 'Kawano|Yoshihiko|Y|', 'Hara|Shinya|S|']
D015746:Abdominal Pain D002648:Child D004065:Digestive System Abnormalities D005260:Female D006417:Hematuria D006801:Humans D045822:Intestinal Volvulus D020706:Laparoscopes D059228:Renal Nutcracker Syndrome D014057:Tomography, X-Ray Computed D014839:Vomiting
paediatrics haematuria gastrointestinal surgery