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 CASE REPORT
Year : 2017  |  Volume : 27  |  Issue : 6  |  Page : 472-474

Nutcracker syndrome with hypertension as an unusual initial presentation


Department of Pediatrics and Radiology, Nanavati Super Speciality Hospital, Vileparle (W), Mumbai, Maharashtra, India

Correspondence Address:
N A Narkhede
Room No. 25, Doctors Quarters, Nanavati Super Speciality Hospital, S. V. Road, Vileparle (W), Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijn.IJN_184_16

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Hypertension has been rarely reported in patients with the nutcracker phenomenon (NCP)/syndrome. We describe a case of a young adolescent female patient where a computed tomography angiography (CTA) provided evidence of left renal vein dilatation, probably due to its compression through the angle between the aorta and the superior mesenteric artery, during the evaluation of secondary hypertension. Blood levels of renin and aldosterone were within normal limits. Ultrasonography of the kidney showed minimal scarring on the left side. As there were no other signs of secondary hypertension, we proceeded with a CTA, which revealed findings compatible with the so-called NCP/syndrome.






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Indian Journal of Nephrology
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Online since 20th Sept '07