Nutcracker phenomenon: An unusual presentation of acute aortic dissection
We report a case of acute aortic dissection leading to compression of the left renal vein (LRV), thereby resulting in the nutcracker phenomenon. A 49-year-old previously healthy woman presented with intermittent gross hematuria and mild left flank pain of five days′ duration. Laboratory examinations...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=1;spage=67;epage=69;aulast=Kodama |
| _version_ | 1818194796181716992 |
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| author | Koichi Kodama Toru Noda Isamu Motoi |
| author_facet | Koichi Kodama Toru Noda Isamu Motoi |
| author_sort | Koichi Kodama |
| collection | DOAJ |
| description | We report a case of acute aortic dissection leading to compression of the left renal vein (LRV), thereby resulting in the nutcracker phenomenon. A 49-year-old previously healthy woman presented with intermittent gross hematuria and mild left flank pain of five days′ duration. Laboratory examinations were within normal limits, except for the elevated C-reactive protein. Cystoscopy revealed bleeding from the left ureteral orifice. Contrast-enhanced computed tomography demonstrated acute Type B aortic dissection and compression of LRV between the enlarged aorta and superior mesenteric artery with an associated dilatation of the left gonadal vein as a collateral circulation. |
| first_indexed | 2024-12-12T01:07:59Z |
| format | Article |
| id | doaj.art-976548a5687a4bbeb741ef8847b2e57c |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-12T01:07:59Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-976548a5687a4bbeb741ef8847b2e57c2022-12-22T00:43:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242013-01-01291676910.4103/0970-1591.109990Nutcracker phenomenon: An unusual presentation of acute aortic dissectionKoichi KodamaToru NodaIsamu MotoiWe report a case of acute aortic dissection leading to compression of the left renal vein (LRV), thereby resulting in the nutcracker phenomenon. A 49-year-old previously healthy woman presented with intermittent gross hematuria and mild left flank pain of five days′ duration. Laboratory examinations were within normal limits, except for the elevated C-reactive protein. Cystoscopy revealed bleeding from the left ureteral orifice. Contrast-enhanced computed tomography demonstrated acute Type B aortic dissection and compression of LRV between the enlarged aorta and superior mesenteric artery with an associated dilatation of the left gonadal vein as a collateral circulation.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=1;spage=67;epage=69;aulast=KodamaAortic dissectionhematurianutcracker phenomenon |
| spellingShingle | Koichi Kodama Toru Noda Isamu Motoi Nutcracker phenomenon: An unusual presentation of acute aortic dissection Indian Journal of Urology Aortic dissection hematuria nutcracker phenomenon |
| title | Nutcracker phenomenon: An unusual presentation of acute aortic dissection |
| title_full | Nutcracker phenomenon: An unusual presentation of acute aortic dissection |
| title_fullStr | Nutcracker phenomenon: An unusual presentation of acute aortic dissection |
| title_full_unstemmed | Nutcracker phenomenon: An unusual presentation of acute aortic dissection |
| title_short | Nutcracker phenomenon: An unusual presentation of acute aortic dissection |
| title_sort | nutcracker phenomenon an unusual presentation of acute aortic dissection |
| topic | Aortic dissection hematuria nutcracker phenomenon |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=1;spage=67;epage=69;aulast=Kodama |
| work_keys_str_mv | AT koichikodama nutcrackerphenomenonanunusualpresentationofacuteaorticdissection AT torunoda nutcrackerphenomenonanunusualpresentationofacuteaorticdissection AT isamumotoi nutcrackerphenomenonanunusualpresentationofacuteaorticdissection |