nonglomerular hematuria due to compression of the left renal vein between the aorta and superior mesenteric artery; renal hilar varices, collateral veins, and proteinuria may be found. See: nutcracker.
Synonym(s): nutcracker phenomenon
Farlex Partner Medical Dictionary © Farlex 2012
Diagnosis Left renal venography—gold standard test, CT, abdominal ultrasonography
DiffDx Kidney stones, genitourinary malignancy, loin pain haematuria syndrome
Management Nephrectomy, nephropexy, renocaval reimplantation, auto-transplantation, left renal vein transposition, stenting, gonadal vein embolisation
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
nutcracker phenomenonNutcracker syndrome A clinical finding in Hb SC disease, in which left-sided renal hemorrhage causes infarction of renal papillae, due to ↑ pressure as the left renal vein passes between the aorta and the superior mesenteric artery; ↑ pressure causes renal medullary hypoxia sufficient to sickle the RBCs
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.