Polymorphism of Clinical Manifestations in Patients with “the Nutcracker Syndrome”

Introduction. “The nutcracker syndrome” occurs due to abnormal compression of the left renal vein (LRV) between superior mesenteric artery and aorta. Clinical manifestations range from hematuria, proteinuria, pain in lumbar region, sided varicocele men, pudendal varicosity women development severe anemia failure some cases progressive phlebohypertension.Materials methods. The study included 210 patientswith suspected “nutcracker . age patients ranged 12 52. All were interviewed for specific complaints. referred underwent color Doppler ultrasound. with confirmed stenosis CT angiography.Results researchAccording ultrasound, different degree aorta clamp (AMC) was 138 (65.7%) patients, critical LRV observed 35 them. predominant complaints AMC half abdomen varicosity, hematuria.. More than complained dysmenorrhea, one four erectile dysfunction.Conclusions. There is no consensus on diagnostic algorithm this pathology detection. a lack evidence base (multicenter clinical randomized trials) regarding selectivity treatment approaches. rarely diagnosed number objective subjective reasons, nonspecific symptoms, therefore it deserves special attention pathogenesis, diagnosis choice approach.