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KMID : 0882420110810010111
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Korean Journal of Medicine
2011 Volume.81 No. 1 p.111 ~ p.115
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A Case of Nutcracker Syndrome Combined with Idiopathic Membranoproliferative Glomerulonephritis, Type I
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Shin Min-Ji
Lee Hee-Sun
Ahn Kang-Hee
Hwang Jong-Min
Nam Hyeong-Seok
Kim Jung-Sup
Kwak Ihm-Soo
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Abstract
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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.
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KEYWORD
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Hematuria, Proteinuria, Membranoproliferative Glomerulonephritis, Type I
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