title: Nutcracker syndrome manifesting with severe proteinuria: a challenging scenario in a single-kidney patient.
abstract: Nutcracker syndrome (NS) refers to compression of the left renal vein between the aorta and the superior mesenteric artery which results in left renal venous hypertension. The typical clinical presenting feature is hematuria. In this report we describe the case of patient with a single kidney who developed severe proteinuria due to NS. She was successfully treated with left renal vein transposition. This case clearly shows the relation between NS and severe proteinuria based on normal biopsy findings and the complete disappearance of proteinuria following surgery.
authors.affiliation: Department of Pediatric Nephrology, Ankara University School of Medicine, Cebeci, Ankara, Turkey. zbozcakar@yahoo.com
authors.forename: Z Birsin
authors.initials: ZB
authors.lastname: Ozçakar
authors.forename: Fatoş
authors.initials: F
authors.lastname: Yalçınkaya
authors.forename: Suat
authors.initials: S
authors.lastname: Fitöz
authors.forename: Gökhan
authors.initials: G
authors.lastname: Cipe
authors.forename: Tarkan
authors.initials: T
authors.lastname: Soygür
authors.forename: Handan
authors.initials: H
authors.lastname: Ozdemir
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Köksoy
mesh_terms: D000293:Adolescent; D001012:Aorta, Abdominal / Q000002:abnormalities*; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000150:complications / Q000175:diagnosis*; D007668:Kidney / Q000002:abnormalities*; D017538:Mesenteric Artery, Superior / Q000002:abnormalities*; D011507:Proteinuria / Q000175:diagnosis* / Q000209:etiology; D012077:Renal Artery / Q000002:abnormalities; D012082:Renal Veins / Q000473:pathology / Q000601:surgery; D013577:Syndrome; D016896:Treatment Outcome