# Nutcracker Syndrome Revealed by Hematuria in a Young Woman: A Case Report and Literature Review

## TL;DR

A 28-year-old woman with hematuria was diagnosed with nutcracker syndrome, a rare condition caused by compression of the left renal vein.

## Contribution

This case report adds to the limited literature on nutcracker syndrome and highlights its presentation through hematuria in a young woman.

## Key findings

- Abdominal CT confirmed left renal vein compression consistent with nutcracker syndrome.
- The patient exhibited hematuria and pelvic varices, typical signs of the syndrome.

## Abstract

Nutcracker syndrome is a rare condition that arises from the left renal vein getting compressed between the aorta and the superior mesenteric artery. Despite its clinical significance, this syndrome is often challenging to diagnose and is frequently overlooked. Its key clinical presentations include hematuria and pelvic or back pain. This condition involves elevated pressure on the left renal vein, leading to various signs and symptoms, with hematuria being a common manifestation. Herein, we report a 28-year-old woman with no medical history who presented with hematuria for two months. Abdominal CT revealed compression of the left renal vein between the superior mesenteric artery and abdominal aorta, with dilated left ovarian vein and pelvic varices, consistent with nutcracker syndrome.