CASE 189: NUTCRACKER‘S SYNDROME, Dr PHAN THANH HAI, Dr NGUYEN DUC TRI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Male boy 12 yo had been in operation of cystostomy for removing blood clot 3 months before, but unkwon cause , and now hematuria is recurring.

Ultrasound of abdomen detected left renal vein dilated, big and big in comparison to one on right site, color Doppler shows very low flow in left dilated renal vein. (see 3 pictures).

 

 

 2 kidneys are normal.

MSCT CE UROLOGY detected left renal vein dilated and pressed between aorta and SMA,  and early filling contrast,  suspected one A-V SHUNT at upper pole of left kidney.(See 3 images of CT with CE).
 

 

 

 

 

 

 

Planning to do DSA for make sure diagnosis of hematuria and site of bleeding.