Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Pediatric Nephrology
Published in: Pediatric Nephrology 10/2008

01-10-2008 | Original Article

Left renal vein entrapment: a frequent feature in children with postural proteinuria

Authors: Monica Ragazzi, Gregorio Milani, Alberto Edefonti, Larry Burdick, Mario G. Bianchetti, Emilio F. Fossali

Published in: Pediatric Nephrology | Issue 10/2008

Login to get access

Abstract

In most Asian subjects with postural proteinuria, ultrasonic imaging and Doppler flow scanning disclose entrapment of the left renal vein in the fork between the aorta and the superior mesenteric artery. Little information is available on the possible occurrence of left venal rein entrapment in European subjects with postural proteinuria. Renal ultrasound with Doppler flow imaging was therefore performed on 24 Italian or Swiss patients with postural proteinuria (14 girls and ten boys, aged between 5.2 years and 16 years). Signs of aorto-mesenteric left renal vein entrapment were noted in 18 of the 24 subjects. In conclusion, aorto-mesenteric left renal vein entrapment is common also among European subjects with postural proteinuria.
Literature
1.
Vehaskari VM (1990) Mechanism of orthostatic proteinuria. Pediatr Nephrol 4:328–330PubMed
2.
Wingo CS, Clapp WL (2000) Proteinuria: potential causes and approach to evaluation. Am J Med Sci 320:188–194PubMed
3.
Shintaku N, Takahashi Y, Akaishi K, Sano A, Kuroda Y (1990) Entrapment of left renal vein in children with orthostatic proteinuria. Pediatr Nephrol 4:324–327PubMed
4.
Lee SJ, You ES, Lee JE, Chung EC (1997) Left renal vein entrapment syndrome in two girls with orthostatic proteinuria. Pediatr Nephrol 11:218–220PubMed
5.
Cho BS, Choi YM, Kang HH, Park SJ, Lim JW, Yoon TY (2001) Diagnosis of nut-cracker phenomenon using renal Doppler ultrasound in orthostatic proteinuria. Nephrol Dial Transplant 16:1620–1625PubMed
6.
Park SJ, Lim JW, Cho BS, Yoon TY, Oh JH (2002) Nutcracker syndrome in children with orthostatic proteinuria: diagnosis on the basis of Doppler sonography. J Ultrasound Med 21:39–45PubMed
7.
Ekim M, Bakkaloglu SA, Tumer N, Sanlidilek U, Salih M (1999) Orthostatic proteinuria as a result of venous compression (nutcracker phenomenon)—a hypothesis testable with modern imaging techniques. Nephrol Dial Transplant 14:826–827PubMed
8.
Ekim M, Ozçakar ZB, Fitoz S, Soygür T, Yüksel S, Acar B, Yalçinkaya F, Arikan N (2006) The “nutcracker phenomenon” with orthostatic proteinuria: case reports. Clin Nephrol 65:280–283PubMed
9.
Barbey F, Venetz JP, Calderari B, Nguyen QV, Meuwly JY (2003) Protéinurie orthostatique et phénomène de compression de la veine rénale gauche (nutcracker syndrome). Presse Med 31:883–885
10.
Ahmed K, Sampath R, Khan MS (2006) Current trends in the diagnosis and management of renal nutcracker syndrome: a review. Eur J Vasc Endovasc Surg 31:410–416PubMed
11.
Shin JI, Lee JS (2005) Nutcracker phenomenon or nutcracker syndrome? Nephrol Dial Transplant 20:2015PubMed
12.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (2004) The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 114:555–576
13.
Ogden CL, Kuczmarski RJ, Flegal KM, Mei Z, Guo S, Wei R, Grummer-Strawn LM, Curtin LR, Roche AF, Johnson CL (2002) Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics 109:45–60PubMed
14.
Ha TS, Lee EJ (2006) ACE inhibition can improve orthostatic proteinuria associated with nutcracker syndrome. Pediatr Nephrol 21:1765–1768PubMed
15.
Shin JI, Lee JS (2007) ACE inhibition in nutcracker syndrome with orthostatic proteinuria: how about a hemodynamic effect? Pediatr Nephrol 22:758PubMed
16.
Ha TS, Lee EJ (2007) ACE inhibition in orthostatic proteinuria associated with nutcracker syndrome would be individualized. Pediatr Nephrol 22:759–760
Metadata
Title
Left renal vein entrapment: a frequent feature in children with postural proteinuria
Authors
Monica Ragazzi
Gregorio Milani
Alberto Edefonti
Larry Burdick
Mario G. Bianchetti
Emilio F. Fossali
Publication date
01-10-2008
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 10/2008
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-008-0909-8

Other articles of this Issue 10/2008

Pediatric Nephrology 10/2008 Go to the issue

Original Article

Detection and incidence of anomalies associated with hypospadias

Brief Report

Maintenance therapy with mycophenolate mofetil for children with severe lupus nephritis after low-dose intravenous cyclophosphamide regimen

Educational Review

Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS)

Review

Recent advances in pediatric dialysis: a review of selected articles

Brief Report

‘Renal hypersensitivity’ to inulin and IgA nephropathy

Original Article

The spectrum of chronic kidney disease (stages 2–5) in KwaZulu-Natal, South Africa