A Case of Nutcracker Syndrome in an Adult Treated by Stenting: Ultrasonography Findings

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  • Tabata Tsuyoshi
    Department of Clinical Physiology, Toho University Medical Center Sakura Hospital, Chiba, Japan
  • Kon Tokuo
    Department of Clinical Physiology, Toho University Medical Center Sakura Hospital, Chiba, Japan
  • Kasuya Shusuke
    Department of Radiology, Toho University Medical Center Sakura Hospital, Chiba, Japan
  • Kamiya Naoto
    Department of Urology, Toho University Medical Center Sakura Hospital, Chiba, Japan
  • Terada Hitoshi
    Department of Radiology, Toho University Medical Center Sakura Hospital, Chiba, Japan
  • Tomaru Takanobu
    Department of Cardiovascular Center, Toho University Medical Center Sakura Hospital, Chiba, Japan

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  • ステントで治療したナットクラッカー症候群の1 例—超音波所見を中心に—

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Abstract

A 26 year-old female diagnosed with nutcracker syndrome was referred to our hospital to undergo stent placement to left renal vein due to progressive anemia and macroscopic hematuria. Ultrasound test and computed tomography before stent placement showed narrowed segment in left renal vein (LRV) between the aorta and the superior mesenteric artery and dilated the hilar LRV portion. Venous pressure gradient in the stenosis LRV was 10 mmHg. Two E-Luminexx stents (12 mm×40 mm) were placed at the stenotic site of the LRV. Patient’s symptom has improved and no postoperative complication has occurred to present.

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