Case Discussion. The most common clinical manifestation of the nutcracker syndrome is intermittent macroscopic hematuria, repeated episodes of gross hematuria and left flank pain. In absence of other causes, the presence of compression of the left renal vein (nutcracker syndrome) is considered the likely cause of hematuria.The most common clinical manifestation of nutcracker syndrome is intermittent macroscopic hematuria, repeated episodes of gross hematuria, and left flank pain. The CT findings are consistent with nutcracker syndrome. The nutcracker syndrome has been associated with macroscopic hematuria, and since no other cause of hematuria (such as renal or urothelial malignancy) was found, …

Case Discussion. The exam was carried out to look for a cause of macroscopic hematuria. The normal aorto-mesenteric angle is … Its common clinical presentation is intermittent microscopic hematuria, repeated attack of gross hematuria as well as left loin pain as in the presentation of this case. Renal vein thrombosis can be an important complication. Nutcracker syndrome describes the symptomatic presentation of the entrapment of the left renal vein between the aorta and the superior mesenteric artery.