Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report

Introduction: Abdominal pain and flank pain cause a significant proportion of emergency department (ED) visits. The diagnosis often remains unclear and is frequently associated with repeat visits to the ED for the same complaint. A rare cause of left upper abdominal and flank pain is compression of...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ron D. Waldrop, Paul Henning
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/74e3d612599e4c2cb02634bdf1b7cdd2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:74e3d612599e4c2cb02634bdf1b7cdd2
record_format	dspace
spelling	oai:doaj.org-article:74e3d612599e4c2cb02634bdf1b7cdd22021-11-23T20:02:52ZNutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report2474-252X10.5811/cpcem.2021.6.52140https://doaj.org/article/74e3d612599e4c2cb02634bdf1b7cdd22021-11-01T00:00:00Zhttps://escholarship.org/uc/item/1dt718r8https://doaj.org/toc/2474-252XIntroduction: Abdominal pain and flank pain cause a significant proportion of emergency department (ED) visits. The diagnosis often remains unclear and is frequently associated with repeat visits to the ED for the same complaint. A rare cause of left upper abdominal and flank pain is compression of the left renal vein between the aorta and the superior mesenteric artery known as nutcracker syndrome. Diagnostic findings on ultrasound include increased left renal vein diameter proximal and peak blood flow velocity increase distal to the superior mesenteric artery. We describe such a patient presenting to an ED repeatedly with severe pain mimicking renal colic before the final diagnosis and intervention occurred. Case Report: A 16-year-old female, long-distance runner presented four times complaining of intractable left upper quadrant abdominal pain radiating to the left flank after exercise. On each visit urinalysis revealed proteinuria and hematuria, and on two visits abdominal computed tomography revealed no kidney stone or dilatation of the collecting system. Ultimately, she was referred to vascular surgery where Doppler ultrasonography was used to diagnose left renal vein compression. Transposition of the left renal vein improved Doppler diameter and flow measurements and eliminated symptoms. Conclusion: Emergency physicians must maintain a large list of possible diagnoses during the evaluation of abdominal and flank pain with a repetitive and uncertain etiology. Nutcracker syndrome may mimic other causes of abdominal and flank pain such as renal colic and requires appropriate referral.Ron D. WaldropPaul HenningeScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Ron D. Waldrop Paul Henning Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report
description	Introduction: Abdominal pain and flank pain cause a significant proportion of emergency department (ED) visits. The diagnosis often remains unclear and is frequently associated with repeat visits to the ED for the same complaint. A rare cause of left upper abdominal and flank pain is compression of the left renal vein between the aorta and the superior mesenteric artery known as nutcracker syndrome. Diagnostic findings on ultrasound include increased left renal vein diameter proximal and peak blood flow velocity increase distal to the superior mesenteric artery. We describe such a patient presenting to an ED repeatedly with severe pain mimicking renal colic before the final diagnosis and intervention occurred. Case Report: A 16-year-old female, long-distance runner presented four times complaining of intractable left upper quadrant abdominal pain radiating to the left flank after exercise. On each visit urinalysis revealed proteinuria and hematuria, and on two visits abdominal computed tomography revealed no kidney stone or dilatation of the collecting system. Ultimately, she was referred to vascular surgery where Doppler ultrasonography was used to diagnose left renal vein compression. Transposition of the left renal vein improved Doppler diameter and flow measurements and eliminated symptoms. Conclusion: Emergency physicians must maintain a large list of possible diagnoses during the evaluation of abdominal and flank pain with a repetitive and uncertain etiology. Nutcracker syndrome may mimic other causes of abdominal and flank pain such as renal colic and requires appropriate referral.
format	article
author	Ron D. Waldrop Paul Henning
author_facet	Ron D. Waldrop Paul Henning
author_sort	Ron D. Waldrop
title	Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report
title_short	Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report
title_full	Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report
title_fullStr	Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report
title_full_unstemmed	Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report
title_sort	nutcracker syndrome masquerading as renal colic in an adolescent athlete: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/74e3d612599e4c2cb02634bdf1b7cdd2
work_keys_str_mv	AT rondwaldrop nutcrackersyndromemasqueradingasrenalcolicinanadolescentathleteacasereport AT paulhenning nutcrackersyndromemasqueradingasrenalcolicinanadolescentathleteacasereport
_version_	1718416099897245696

Nutcracker Syndrome Masquerading as Renal Colic in an Adolescent Athlete: A Case Report

Ejemplares similares