Our Clinical Experiences in Patients with ID Nutcracker Syndrome

Sarıhan, Haluk; Yalçın Cömert, Hatice Sonay; Tural, Sema; Şalcı, Gül; İMAMOĞLU, MUSTAFA

doi:10.5222/buchd.2021.54366

Our Clinical Experiences in Patients with ID Nutcracker Syndrome

Hatice Sonay YALÇIN CÖMERT, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Trabzon, Türkiye)

Sema TURAL BOZOĞLU, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Trabzon, Türkiye)

Gül ŞALCI, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Trabzon, Türkiye)

Haluk SARIHAN, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Trabzon, Türkiye)

Mustafa İMAMOĞLU (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Trabzon, Türkiye)

İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi

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Yıl: 2021 Cilt: 11 Sayı: 1 Sayfa Aralığı: 9 - 14 Metin Dili: İngilizce DOI: 10.5222/buchd.2021.54366 İndeks Tarihi: 16-02-2022

Our Clinical Experiences in Patients with ID Nutcracker Syndrome

Öz:

Objective: Nutcracker syndrome (NCS) is a rare condition caused by the compression of the left renal vein between the abdominal aorta and superior mesenteric artery. The purpose of the study was to evaluate our management of NCS. Methods: Patients were retrospectively reviewed and sex, age, main symptoms at application, physical examination, radiological findings, laboratory examinations, and treatment were recorded. Results: 23 patients (16 girls, 7 boys; age range, 5 to 16) diagnosed with NCS. Microhematuria was detected with 14 (60.8%) patients before diagnosis. And four of 9 (39.1%) were determined after diagnosis. Microhematuria was not detected in 5 (21.7%) of the patients. All patients (100%) had orthostatic proteinuria. 17 (73.9%) patients had mild, 3 (13.0%) patients had moderate and 3 (13.0%) had severe proteinuria. The mean diameter of the left renal vein (LRV) at the aortomesenteric (AM) portions and the hilar were 1.69mm±0.70 and 8.01mm±2.27. The mean angle between the superior mesenteric artery and LRV was 25.26º±7.98. Conclusion: In the case of especially colic flank pain, hematuria, and proteinuria NCS should keep in mind in the differential diagnosis. Surgical management may supply more enough clinic improvement when the patient has a response to medical therapy.

Anahtar Kelime:

Nutcracker Sendromlu Hastalarda Klinik Deneyimlerimiz

Öz:

Amaç: Nutcracker sendromu (NCS), abdominal aorto ve superiar mezenterik arter arasındaki sol renal venin sıkışmasından kaynaklanan nadir bir durumdur. Çalışmanın amacı, NCS tanısı konulan hastalara genel yaklaşımımızı değerlendirmektir. Yöntem: Hastalar retrospektif olarak incelendi ve cinsiyet, yaş, uygulamadaki ana semptomlar, fizik muayene, radyolojik bulgular, laboratuvar muayeneleri ve tedavi kaydedildi. Bulgular: 23 hasta (16 kız, 7 erkek; yaş aralığı, 5-16) NKS tanısı aldı. Tanıdan önce 14 hastada (%60,8) mikrohematüri saptandı. Teşhisten 9 taneden dördünde (%39,1) tanı aldıktan sonra belirlendi. Hastaların 5’inde (%21,7) mikrohematüri saptanmadı. Tüm hastalarda (%100) ortostatik proteinüri vardı. 17 (%73,9) hastada hafif, 3 (%13,0) hastada orta, 3 (%13,0) hastada ciddi proteinüri vardı. Aortmezenterik (AM) ve hilerde sol renal venin (LRV) ortalama çapı 1.69mm±0,70 ve 8,01mm±2,27 idi. Üst mezenterik arter ve LRV arasındaki ortalama açı 25,26±7,98 idi. Sonuç: Özellikle kolik yan ağrısı, hematüri ve proteinüri olması durumunda NCS ayırıcı tanıda akılda tutulmalıdır. Cerrahi tedavi, hasta tıbbi tedaviye yanıt verdiğinde daha fazla klinik iyileşme sağlayabilir

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yalçın Cömert H, Tural S, Şalcı G, Sarıhan H, İMAMOĞLU M (2021). Our Clinical Experiences in Patients with ID Nutcracker Syndrome. , 9 - 14. 10.5222/buchd.2021.54366
Chicago	Yalçın Cömert Hatice Sonay,Tural Sema,Şalcı Gül,Sarıhan Haluk,İMAMOĞLU MUSTAFA Our Clinical Experiences in Patients with ID Nutcracker Syndrome. (2021): 9 - 14. 10.5222/buchd.2021.54366
MLA	Yalçın Cömert Hatice Sonay,Tural Sema,Şalcı Gül,Sarıhan Haluk,İMAMOĞLU MUSTAFA Our Clinical Experiences in Patients with ID Nutcracker Syndrome. , 2021, ss.9 - 14. 10.5222/buchd.2021.54366
AMA	Yalçın Cömert H,Tural S,Şalcı G,Sarıhan H,İMAMOĞLU M Our Clinical Experiences in Patients with ID Nutcracker Syndrome. . 2021; 9 - 14. 10.5222/buchd.2021.54366
Vancouver	Yalçın Cömert H,Tural S,Şalcı G,Sarıhan H,İMAMOĞLU M Our Clinical Experiences in Patients with ID Nutcracker Syndrome. . 2021; 9 - 14. 10.5222/buchd.2021.54366
IEEE	Yalçın Cömert H,Tural S,Şalcı G,Sarıhan H,İMAMOĞLU M "Our Clinical Experiences in Patients with ID Nutcracker Syndrome." , ss.9 - 14, 2021. 10.5222/buchd.2021.54366
ISNAD	Yalçın Cömert, Hatice Sonay vd. "Our Clinical Experiences in Patients with ID Nutcracker Syndrome". (2021), 9-14. https://doi.org/10.5222/buchd.2021.54366

APA	Yalçın Cömert H, Tural S, Şalcı G, Sarıhan H, İMAMOĞLU M (2021). Our Clinical Experiences in Patients with ID Nutcracker Syndrome. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 11(1), 9 - 14. 10.5222/buchd.2021.54366
Chicago	Yalçın Cömert Hatice Sonay,Tural Sema,Şalcı Gül,Sarıhan Haluk,İMAMOĞLU MUSTAFA Our Clinical Experiences in Patients with ID Nutcracker Syndrome. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 11, no.1 (2021): 9 - 14. 10.5222/buchd.2021.54366
MLA	Yalçın Cömert Hatice Sonay,Tural Sema,Şalcı Gül,Sarıhan Haluk,İMAMOĞLU MUSTAFA Our Clinical Experiences in Patients with ID Nutcracker Syndrome. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, vol.11, no.1, 2021, ss.9 - 14. 10.5222/buchd.2021.54366
AMA	Yalçın Cömert H,Tural S,Şalcı G,Sarıhan H,İMAMOĞLU M Our Clinical Experiences in Patients with ID Nutcracker Syndrome. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2021; 11(1): 9 - 14. 10.5222/buchd.2021.54366
Vancouver	Yalçın Cömert H,Tural S,Şalcı G,Sarıhan H,İMAMOĞLU M Our Clinical Experiences in Patients with ID Nutcracker Syndrome. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2021; 11(1): 9 - 14. 10.5222/buchd.2021.54366
IEEE	Yalçın Cömert H,Tural S,Şalcı G,Sarıhan H,İMAMOĞLU M "Our Clinical Experiences in Patients with ID Nutcracker Syndrome." İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 11, ss.9 - 14, 2021. 10.5222/buchd.2021.54366
ISNAD	Yalçın Cömert, Hatice Sonay vd. "Our Clinical Experiences in Patients with ID Nutcracker Syndrome". İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 11/1 (2021), 9-14. https://doi.org/10.5222/buchd.2021.54366