Document Detail

Clinical management of Nutcracker's syndrome during pregnancy.
MedLine Citation:
PMID:  19670046     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The Nutcracker syndrome (mesoaortic compression of the left renal vein) is a rare condition which causes macroscopic hematuria and colic pain. METHODS: We have carried out a search in Medline database of the current trends in the management of this rare syndrome during pregnancy. RESULTS: We found four reports on diagnosis of the syndrome during pregnancy but there is no published articles concerning the management of pregnancy after diagnosis of a Nutcracker syndrome treated with a vascular stent. A case of Nutcracker's syndrome during pregnancy is reported as well as a review of the clinical findings and management of the syndrome. CONCLUSION: The pregnancy of patients with Nutcracker syndrome, undergone vascular stent placement, should be considered high risk gestation and should be managed with low molecular weight heparin and serial renal vein flow Doppler studies.
Ignacio Zapardiel; Luis Sanfrutos; Tirso Perez-Medina; Verónica Godoy-Tundidor; Jesús Delafuente-Valero; Vanna Zanagnolo
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  589-92     Citation Subset:  IM    
Obstetrics and Gynaecology Department, Santa Cristina University Hospital, Madrid, Spain.
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MeSH Terms
Constriction, Pathologic / therapy
Hematuria / etiology,  pathology,  therapy
Peripheral Vascular Diseases / complications,  pathology,  therapy*
Pregnancy Complications, Cardiovascular / pathology,  therapy*
Renal Colic / etiology,  pathology,  therapy
Renal Veins / pathology*

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