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Interesting Images

Nutcracker Syndrome as an Uncommon Cause of Isolated Hematuria in Adults

by
Oleksandr Boiko
*,
Soledad Larburu
and
David Lecumberri
Department of Urology, Cruces University Hospital, 48903 Barakaldo, Spain
*
Author to whom correspondence should be addressed.
Soc. Int. Urol. J. 2025, 6(5), 64; https://doi.org/10.3390/siuj6050064
Submission received: 18 August 2025 / Accepted: 26 August 2025 / Published: 21 October 2025
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Abstract

Compression of the left renal vein between the abdominal aorta and superior mesenteric artery, known as nutcracker syndrome, can present with subtle, nonspecific symptoms that often delay diagnosis, posing a clinical challenge in daily urology practice and necessitating targeted imaging for accurate identification. We report the case of a 39-year-old patient who presented with isolated hematuria and long-standing pelvic pain and was ultimately diagnosed with nutcracker syndrome. Following the failure of endovascular therapy, the patient underwent renal autotransplantation, resulting in complete resolution of symptoms at follow-up.
Keywords: nutcracker syndrome; isolated hematuria; chronic pelvic pain; aortomesenteric angle; left renal vein compression; renal autotransplantation nutcracker syndrome; isolated hematuria; chronic pelvic pain; aortomesenteric angle; left renal vein compression; renal autotransplantation

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MDPI and ACS Style

Boiko, O.; Larburu, S.; Lecumberri, D. Nutcracker Syndrome as an Uncommon Cause of Isolated Hematuria in Adults. Soc. Int. Urol. J. 2025, 6, 64. https://doi.org/10.3390/siuj6050064

AMA Style

Boiko O, Larburu S, Lecumberri D. Nutcracker Syndrome as an Uncommon Cause of Isolated Hematuria in Adults. Société Internationale d’Urologie Journal. 2025; 6(5):64. https://doi.org/10.3390/siuj6050064

Chicago/Turabian Style

Boiko, Oleksandr, Soledad Larburu, and David Lecumberri. 2025. "Nutcracker Syndrome as an Uncommon Cause of Isolated Hematuria in Adults" Société Internationale d’Urologie Journal 6, no. 5: 64. https://doi.org/10.3390/siuj6050064

APA Style

Boiko, O., Larburu, S., & Lecumberri, D. (2025). Nutcracker Syndrome as an Uncommon Cause of Isolated Hematuria in Adults. Société Internationale d’Urologie Journal, 6(5), 64. https://doi.org/10.3390/siuj6050064

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