title: Nutcracker Syndrome and Sickle Cell Trait: A Perfect Storm for Hematuria.
abstract: We describe the case of a 27-year-old woman with a history of sickle cell trait (SCT) who presented with several months of hematuria and was found to have nutcracker syndrome (NCS). While SCT is a common cause of hematuria resulting from renal papillary necrosis, our patient had concomitant abdominal pain and anemia, prompting further evaluation and the subsequent diagnosis of NCS. Interestingly, the anoxia in the left renal vein from NCS predisposes patients with SCT to sickling. Our case highlights key clinical features of both NCS and SCT and the relationship between the two disease processes.
authors.affiliation: Tinsley Harrison Internal Medicine Residency Program, University of Alabama at Birmingham, Birmingham, AL, USA. aahmad@uabmc.edu.
authors.forename: Amier
authors.initials: A
authors.lastname: Ahmad
authors.affiliation: The University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Samuel K
authors.initials: SK
authors.lastname: McElwee
authors.affiliation: The University of Alabama at Birmingham, Birmingham, AL, USA.|Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA.
authors.forename: Ryan R
authors.initials: RR
authors.lastname: Kraemer
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D059228:Renal Nutcracker Syndrome / Q000150:complications* / Q000000981:diagnostic imaging*; D012805:Sickle Cell Trait / Q000150:complications* / Q000000981:diagnostic imaging*
keywords: hematuria; nutcracker syndrome; sickle cell trait