Aggravation of the nutcracker syndrome during pregnancy.
BACKGROUND
The nutcracker syndrome is a rare condition thought to be caused by compression of the left renal vein between the descending aorta and the superior mesenteric artery.


METHODS
Gross hematuria appeared in the third trimester of an otherwise normal pregnancy. It continued despite treatment, and a cesarean was performed at 37 weeks' gestation. The hematuria stopped postpartum. With postpartum angiography and three-dimensional computed tomography, the diagnosis of nutcracker syndrome was finally made.


CONCLUSIONS
Pregnancy can aggravate the nutcracker syndrome. This syndrome should be recognized as one of the diseases that causes gross hematuria.
Itoh
S
S
Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Yoshida
K
K
Nakamura
Y
Y
Mitsuhashi
N
N
D000328:Adult; D001013:Aorta, Thoracic; D003251:Constriction, Pathologic; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D017538:Mesenteric Artery, Superior; D016491:Peripheral Vascular Diseases / Q000209:etiology* / Q000652:urine; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology* / Q000652:urine; D012082:Renal Veins; D013577:Syndrome