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Inicio Actas Urológicas Españolas Actitud expectante en el síndrome del cascanueces
Journal Information
Vol. 33. Issue 1.
Pages 93-96 (January 2009)
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Vol. 33. Issue 1.
Pages 93-96 (January 2009)
Actitud expectante en el síndrome del cascanueces
Nutcracker syndrome managed by simple surveillance
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Youness El harrecha,1
Corresponding author
ylg79@hotmail.com

Correspondencia autor: Dr. Younes El Harrech Departamento de Urología. Hospital Militar Mohammed V Bloc F, nr 28, Lot. El Haouzia, Kenitra, Maroc. Rabat, Marruecos Tel.: 0021261326160
, Hassan Jiraa, Jaouad Chafikia, Mohamed Ghadouanea, Ahmed Ameura, Mohamed Abbara
a Departamento de Urología. Hospital Militar Mohammed V. Rabat. Marruecos
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Resumen

Síndrome del Cascanueces (Nutcracker Syndrome) es causado por la compresión de la vena renal izquierda entre la aorta y la arteria mesentérica superior adonde pasa en la bifurcación formada en la bifurcación de estas arterias. El fenómeno da lugar a la hipertensión venosa renal izquierda. El síndrome es manifestado por el flanco izquierdo y el dolor abdominal, con o sin hematuria unilateral. El síndrome del nutcracker se ha tratado de varias maneras. Divulgamos un caso del síndrome y discutimos el lugar de la vigilancia en su gerencia.

Palabras clave:
Síndrome del cascanueces
Hematuria
Vena renal
Arteria mesentérica
Abstract

Nutcracker syndrome is caused by compression of the left renal vein between the aorta and the superior mesenteric artery where it passes in the fork formed at the bifurcation of these arteries. The phenomenon results in left renal venous hypertension. The syndrome is manifested by left flank and abdominal pain, with or without unilateral haematuria. The nutcracker syndrome has been treated in various ways. We report one case of the syndrome and discuss the place of surveillance in its management.

Key words:
Nutcracker syndrome
Hematuria
Renal vein
Mesenteric artery

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