CLINICAL MARKERS OF HYPERTENSION IN THE LEFT RENAL VEIN SYSTEM

Introduction. Hypertension in the left renal vein (LRV) system is usually a consequence of aorta mesenteric clamp (the so-called “nutcracker syndrome”) and leads not only to venous stasis kidney, but also development pelvic congestion syndrome. The frequency severity syndrome” (NS) symptoms varies from asymptomatic microhematuria severe forms congestion. Some patients indicate distinct constant clinical symptoms, some patients, especially children, note an course
 objective was study prevalence degree hypertension manifestations LRV system.
 Materials methods. included 248 (156 men 92 women, average age constituted 28.24±2.74) with suspicion NS who underwent examination treatment 1999 2022. All were interviewed for specific complaints, pain syndrome particular (questionnaire according VAS) laboratory diagnostic tests, color Doppler ultrasound reno-caval segment, kidneys, pelvis, CT angiography, if necessary.
 Results. According conducted patient questionnaire, one third AMC without critical stenosis did have syndrome, when present, mild moderate prevailed. However, indicated by 93.1% respondents group (II group) structure its intensity changed.
 Apparently, macrohematuria lasting more than 2 years times months (32.84%) prevailed (group II), whereas this indicator groups I III 4.26% 4 .56%, respectively.
 Evidently, significant decrease BMI observed (16.2±1.08 vs. 23.8±1.12 24.7±2.38 III, respectively). As result examination, correlation established between VAS II: Spearman’s rank coefficient 0.948, P<0.0001, CI 95% Rs -0.972 -0.906 18.2% I, 46.3% II, 12.4% Left sided varicocele diagnosed 48 (54.5%) examined stage 12 (25%) cases, II 31 (64.5%) found 5 (10.5%) (13.4%) (control).
 analysis frequency, taking into account stage, no connection presence stenosis.
 Conclusions. characterized polymorphism variety forms. main markers are hematuria. Color segment recommended / pudendal varicose veins, hematuria, proteinuria, diagnosis congestion; dyspareunia, algodysmenorrhea, appearance blood during coitus hemospermia, chronic epigastric unknown etiology, anorexia, idiopathic infertility, order exclude pathology segment.