Childhood Kidney Diseases

Korean Society of Pediatric Nephrology (대한소아신장학회)
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A case of Nutcracker Syndrome Associated with Proteinuria

단백뇨를 동반한 Nutcracker 증후군 1례

  • Son Jin-Tae (Departments of Pediatrics, Yonsei University, College of Medicine) ;
  • Rho Kwang-Sik (Departments of Pediatrics, Yonsei University, College of Medicine) ;
  • Kim Pyung-Kil (Departments of Pediatrics, Yonsei University, College of Medicine) ;
  • Kim Mung-Jun (Departments of Radiology, Yonsei University, College of Medicine)
  • 손진태 (연세대학교 의과대학 소아과학교실) ;
  • 노광식 (연세대학교 의과대학 소아과학교실) ;
  • 김병길 (연세대학교 의과대학 소아과학교실) ;
  • 김명준 (연세대학교 의과대학 진단방사선학교실)
  • Published : 1997.10.01
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Abstract

The nutcracker syndorme refers to compression of the left renal vein between the aorta and the superior mesentric artery which results in renal vein, left gonadal vein varices, hematuria and left sided flank pain. We report this experience of 11yr-11mon of girl has typical Nutcracker syndrome with persistent proteinuria and without typical hematuria. According to the renal biopsy for persistent proteinuria, biopsy shows pathologic findings similar to minimal change nephrotic syndrome. All symtpoms relieved without any specific treatments but she had no response to steroid treatment for persistent proteinuria. Now she was followed up through OPD base without symptom and consideration of surgical intervention.

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