title: Clinical management of Nutcracker's syndrome during pregnancy.
abstract: BACKGROUND
  The Nutcracker syndrome (mesoaortic compression of the left renal vein) is a rare condition which causes macroscopic hematuria and colic pain.
  
  
  METHODS
  We have carried out a search in Medline database of the current trends in the management of this rare syndrome during pregnancy.
  
  
  RESULTS
  We found four reports on diagnosis of the syndrome during pregnancy but there is no published articles concerning the management of pregnancy after diagnosis of a Nutcracker syndrome treated with a vascular stent. A case of Nutcracker's syndrome during pregnancy is reported as well as a review of the clinical findings and management of the syndrome.
  
  
  CONCLUSIONS
  The pregnancy of patients with Nutcracker syndrome, undergone vascular stent placement, should be considered high risk gestation and should be managed with low molecular weight heparin and serial renal vein flow Doppler studies.
authors: Obstetrics and Gynaecology Department, Santa Cristina University Hospital, Madrid, Spain. ignaciozapardiel@hotmail.com
authors: Ignacio
authors: I
authors: Zapardiel
authors: Luis
authors: L
authors: Sanfrutos
authors: Tirso
authors: T
authors: Perez-Medina
authors: Verónica
authors: V
authors: Godoy-Tundidor
authors: Jesús
authors: J
authors: Delafuente-Valero
authors: Vanna
authors: V
authors: Zanagnolo
mesh_terms: D000328:Adult; D003251:Constriction, Pathologic / Q000628:therapy; D005260:Female; D006417:Hematuria / Q000209:etiology / Q000473:pathology / Q000628:therapy; D006801:Humans; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000473:pathology / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000473:pathology / Q000628:therapy*; D056844:Renal Colic / Q000209:etiology / Q000473:pathology / Q000628:therapy; D012082:Renal Veins / Q000473:pathology*; D013577:Syndrome