Nutcracker syndrome complicated with intestinal malrotation.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
10 Oct 2019
Historique:
entrez: 13 10 2019
pubmed: 13 10 2019
medline: 28 2 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 31604719
pii: 12/10/e231230
doi: 10.1136/bcr-2019-231230
pmc: PMC6803139
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Yosuke Nishio (Y)

Pediatrics, TOYOTA Memorial Hospital, Toyota, Aichi, Japan y.nishio1989@gmail.com.

Yoshihiko Kawano (Y)

Pediatrics, TOYOTA Memorial Hospital, Toyota, Aichi, Japan.

Shinya Hara (S)

Pediatrics, TOYOTA Memorial Hospital, Toyota, Aichi, Japan.

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