title: Nutcrackerlike Phenomenon Is An Unusual Cause for Gross Hematuria After a Kidney Graft.
abstract: Nutcracker phenomenon is the condition that occurs most commonly at the morphologic type by compression of the left renal vein between the aorta and superior mesenteric artery. The diagnosis is often delayed because of the variability in manifestations and absence of consensus on diagnostic criteria. We report a 30-year-old woman who presented gross hematuria several days after a kidney transplant. Nutcracker syndrome was established intraoperatively during open surgical approach for bladder clot evacuation. Renal repositioning was done with relief in the degree of hematuria intraoperatively. No episode of gross hematuria was observed on follow-up after 8 months.
authors.affiliation: From the Shiraz Organ Transplant Center, Nemazee Hospital, Shiraz University of Medical Sciences, Nemazee Hospital Zand Ave., Shiraz, Fars 7193711351, Islamic Republic of Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Salehipour
authors.forename: Kourosh
authors.initials: K
authors.lastname: Kazemi
authors.forename: Ali
authors.initials: A
authors.lastname: Shamsaeefar
authors.forename: Pooya
authors.initials: P
authors.lastname: Hekmati
authors.forename: Ahmad Khalid
authors.initials: AK
authors.lastname: Sanaei
authors.forename: Ali
authors.initials: A
authors.lastname: Bahador
authors.forename: Mohsen
authors.initials: M
authors.lastname: Aliakbarian
authors.forename: Seyed Ali
authors.initials: SA
authors.lastname: Malek Hosseini
mesh_terms: D000328:Adult; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D059228:Renal Nutcracker Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome