Haydarpasa Numune Med J. 2020; 60(1): 99-102 | DOI: 10.14744/hnhj.2018.70783

Can Nutcracker Syndrome Cause Secondary Hypertension? Two Case Reports

Pýnar Zehra Davarcý¹, Süleyman Baþ², Funda Müþerref Türkmen², Zeynep Gamze Kýlýçoðlu^3
1Department of Internal Medicine, Erzincan Binali Yildirim University, Mengucek Gazi Training and Research Hospital, Erzincan, Turkey
²Department of Internal Medicine, Health Sciences University, Hamidiye Faculty of Medicine, Haydarpasa Numune Health Application and Research Center, Istanbul, Turkey
³Deparment of Radiology, Health Sciences University, Hamidiye Faculty of Medicine, Haydarpasa Numune Health Application and Research Center, Istanbul, Turkey

Nutcracker syndrome (NCS) was first described by Grand in 1944 as compression of the left renal vein with the superior artery (SMA) between the abdominal aorta. Although there are a limited number of clinical studies on NCS, the most common symptoms and signs are left side pain, hematuria and proteinuria due to venous hypertension of the left kidney. Dyspareunia, dysuria, dysmenorrhea, scrotal and varicose vein formation in the lower extremity, abdominal pain are other rare symptoms and signs. Rarely, NCS has been reported to cause arterial hypertension. We found NCS in two young patients who were investigated for secondary reasons of arterial hypertension, and we decided to present them in this study.

Keywords: Blood pressure measurement, hypertension; nutcracker syndrome.

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Nutcraker Sendromu sekonder hipertansiyon nedeni olabilir mi? Ýki olgu sunumu.

Pýnar Zehra Davarcý¹, Süleyman Baþ², Funda Müþerref Türkmen², Zeynep Gamze Kýlýçoðlu^3
1Erzincan Binali Yýldýrým Üniversitesi Mengücek Gazi Eðitim Ve Araþtýrma Hastanesl, Dahiliye Kliniði
²Saðlýk Bilimleri Üniversitesi Haydarpaþa Numune Eðitim Ve Araþtýrma Hastanesi, Dahiliye Kliniði
³Saðlýk Bilimleri Üniversitesi Haydarpaþa Numune Eðitim Ve Araþtýrma Hastanesi, Radyoloji Kliniði

Nutcraker sendromu (NCS) ilk kez 1944 yýlýnda Grand tarafýndan sol renal venin süperior arter (SMA) ile abdominal
aorta arasýnda sýkýþmasý olarak tanýmlanmýþtýr. NCS ile ilgili sýnýrlý sayýda klinik çalýþma olmakla birlikte en sýk karþýlaþýlan semptom ve bulgular sol böbreðin venöz hipertansiyonuna baðlý sol yan aðrýsý, hematüri ve proteinüridir. Disparoni, dizüri, dismenore, skrotal ve alt ektremitede variköz ven oluþumu, karýn aðrýsý diðer nadir görülen semptom ve bulgulardýr. Daha nadir olarak NCS’nin arteryel hipertansiyona da yol açabildiði bildirilmiþtir. Arteryel hipertansiyonun sekonder nedeni araþtýrýlan iki genç olgumuzda NCS saptadýk ve irdelemeyi uygun bulduk.

Anahtar Kelimeler: Hipertansiyon, Kan basýncý ölçümü, Nutcracker Sendromu

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