Effect of renal Doppler ultrasound on the detection of nutcracker syndrome in children with hematuria.
To assess the detection rate of nutcracker syndrome in children with isolated hematuria, renal Doppler ultrasound examinations were routinely performed on 216 consecutive children (176 microscopic hematuria and 40 gross hematuria). Renal Doppler ultrasound was also performed on 32 healthy normal children. The peak velocity (PV) was measured at the hilar portion of the left renal vein (LRV) and at the LRV between the aorta and the superior mesenteric artery. The PV at the aortomesenteric portion (P=0.003) and the PV ratios of the LRV (P=0.003) were significantly higher in children with hematuria than in normal children, while the PV at the hilar portion was not different. If a PV ratio of the LRV of at least 4.1 (the cut-off level set at the mean +/-2 SD of the value for the normal children) was defined as abnormal, 72 cases (33.3%) in children with hematuria and no cases in normal children were diagnosed as having nutcracker syndrome. The prevalence of nutcracker syndrome is relatively high in children with isolated hematuria, and the inclusion of renal Doppler ultrasound as a screening examination has a substantial effect on the detection of nutcracker syndrome.
Shin
Jae Il
JI
The Institute of Kidney Disease, Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul, South Korea.
Park
Jee Min
JM
Lee
Jae Seung
JS
Kim
Myung Joon
MJ
D000293:Adolescent; D001783:Blood Flow Velocity; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic; D005260:Female; D006417:Hematuria / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007223:Infant; D007674:Kidney Diseases / Q000000981:diagnostic imaging*; D008297:Male; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology; D012082:Renal Veins / Q000000981:diagnostic imaging* / Q000503:physiopathology; D013577:Syndrome; D018608:Ultrasonography, Doppler