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A Case of Nutcracker Syndrome Combined with IdiopathicMembranoproliferative Glomerulonephritis, Type I  

Shin, Min-Ji (Department of Internal Medicine, Pusan National University School of Medicine)
Lee, Hee-Sun (Department of Internal Medicine, Pusan National University School of Medicine)
An, Kang-Hee (Department of Internal Medicine, Pusan National University School of Medicine)
Hwang, Jong-Min (Department of Internal Medicine, Pusan National University School of Medicine)
Nam, Hyung-Suk (Department of Internal Medicine, Pusan National University School of Medicine)
Kim, Jung-Sup (Department of Internal Medicine, Pusan National University School of Medicine)
Kwak, Ihm-Soo (Department of Internal Medicine, Pusan National University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.81, no.1, 2011 , pp. 111-115 More about this Journal
Abstract
The Nutcracker syndrome refers to compression of the left renal vein between the aorta and superior mesenteric artery, which results in renal vein and left gonadal vein varices, hematuria, and left flank pain. Here, we report a case of biopsy-proven membranoproliferative glomerulonephritis with radiologically documented Nutcracker syndrome. The patient presented with generalized edema for several months. In order to evaluate isomorphic hematuria, we performed computed tomography (CT), which showed Nutcracker syndrome. A renal biopsy revealedmembranoproliferative glomerulonephritis, Type I. In conclusion, inadults with Nutcracker syndrome that involves severe proteinuria, the possibility of combined glomerulonephritis must be considered.
Keywords
Hematuria; Proteinuria; Membranoproliferative Glomerulonephritis, Type I;
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Times Cited By KSCI : 2  (Citation Analysis)
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