Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report
Nabil A Al-Zoubi,1 Ibrahim F Al-Ghalayini,1,2 Radwan Al-Okour1,2 1Department of Surgery, 2Division of Urology, Jordan University of Science and Technology, Irbid, Jordan Introduction: Nutcracker syndrome is a rare disease entity that is caused by entrapment of the left renal vein between the aorta a...
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doaj-7156e90ca79043aebd3c719b0e5fc8502020-11-24T22:28:52ZengDove Medical PressInternational Journal of Nephrology and Renovascular Disease1178-70582017-12-01Volume 1028528835980Nutcracker syndrome associated with celiacomesentric trunk anomaly: case reportAl-Zoubi NAAl-Ghalayini IFAl-Okour RNabil A Al-Zoubi,1 Ibrahim F Al-Ghalayini,1,2 Radwan Al-Okour1,2 1Department of Surgery, 2Division of Urology, Jordan University of Science and Technology, Irbid, Jordan Introduction: Nutcracker syndrome is a rare disease entity that is caused by entrapment of the left renal vein between the aorta and superior mesenteric artery, usually due to abnormal branching of the superior mesenteric artery from the aorta causing renal venous hypertension. The symptoms vary from asymptomatic hematuria to severe pelvic congestion. Celiacomesenteric trunk anomaly is a rare variation of splanchnic artery anomaly that occurs when the celiac trunk and superior mesenteric arteries have a common origin from the aorta. A disease involving the rarely encountered celiacomesenteric trunk anomaly is extremely uncommon. To our knowledge, association between nutcracker syndrome and celiacomesentric trunk anomaly has not been reported in the literature.Case presentation: A 14-year-old boy with no significant past medical history presented with a 3-year painless hematuria. CT-angiogram revealed anterior nutcracker syndrome with celiacomesenteric trunk anomaly. The patient was managed conservatively with close follow-up.Conclusion: Nutcracker syndrome associated with celiacomesenteric trunk anomaly is extremely uncommon and is a rare cause of hematuria in children. Whether this abnormal anatomy is the cause of nutcracker syndrome or just an association should be investigated. Moreover, awareness of this anatomical variation may help in planning therapeutic options and reducing the chance of surgical iatrogenic injuries. Keywords: nutcracker syndrome, celiacomesenteric trunk, hematuria in childrenhttps://www.dovepress.com/nutcracker-syndrome-associated-with-celiacomesentric-trunk-anomaly-cas-peer-reviewed-article-IJNRDNutcracker SyndromeCeliaco-mesenteric TrunkHematuria in Children. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Al-Zoubi NA Al-Ghalayini IF Al-Okour R |
spellingShingle |
Al-Zoubi NA Al-Ghalayini IF Al-Okour R Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report International Journal of Nephrology and Renovascular Disease Nutcracker Syndrome Celiaco-mesenteric Trunk Hematuria in Children. |
author_facet |
Al-Zoubi NA Al-Ghalayini IF Al-Okour R |
author_sort |
Al-Zoubi NA |
title |
Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report |
title_short |
Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report |
title_full |
Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report |
title_fullStr |
Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report |
title_full_unstemmed |
Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report |
title_sort |
nutcracker syndrome associated with celiacomesentric trunk anomaly: case report |
publisher |
Dove Medical Press |
series |
International Journal of Nephrology and Renovascular Disease |
issn |
1178-7058 |
publishDate |
2017-12-01 |
description |
Nabil A Al-Zoubi,1 Ibrahim F Al-Ghalayini,1,2 Radwan Al-Okour1,2 1Department of Surgery, 2Division of Urology, Jordan University of Science and Technology, Irbid, Jordan Introduction: Nutcracker syndrome is a rare disease entity that is caused by entrapment of the left renal vein between the aorta and superior mesenteric artery, usually due to abnormal branching of the superior mesenteric artery from the aorta causing renal venous hypertension. The symptoms vary from asymptomatic hematuria to severe pelvic congestion. Celiacomesenteric trunk anomaly is a rare variation of splanchnic artery anomaly that occurs when the celiac trunk and superior mesenteric arteries have a common origin from the aorta. A disease involving the rarely encountered celiacomesenteric trunk anomaly is extremely uncommon. To our knowledge, association between nutcracker syndrome and celiacomesentric trunk anomaly has not been reported in the literature.Case presentation: A 14-year-old boy with no significant past medical history presented with a 3-year painless hematuria. CT-angiogram revealed anterior nutcracker syndrome with celiacomesenteric trunk anomaly. The patient was managed conservatively with close follow-up.Conclusion: Nutcracker syndrome associated with celiacomesenteric trunk anomaly is extremely uncommon and is a rare cause of hematuria in children. Whether this abnormal anatomy is the cause of nutcracker syndrome or just an association should be investigated. Moreover, awareness of this anatomical variation may help in planning therapeutic options and reducing the chance of surgical iatrogenic injuries. Keywords: nutcracker syndrome, celiacomesenteric trunk, hematuria in children |
topic |
Nutcracker Syndrome Celiaco-mesenteric Trunk Hematuria in Children. |
url |
https://www.dovepress.com/nutcracker-syndrome-associated-with-celiacomesentric-trunk-anomaly-cas-peer-reviewed-article-IJNRD |
work_keys_str_mv |
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