The Nutcracker Syndrome.
This case report describes a 43-year-old asymptomatic female with incidentally discovered hematuria during an annual check-up. Initial physical examinations and abdominal ultrasonography were inconclusive, prompting further investigation via contrast-enhanced computed tomography. The imaging results identified Nutcracker Syndrome, characterized by compression of the left renal vein between the abdominal aorta and superior mesenteric artery. The authors note that this rare condition should be considered in cases of unexplained hematuria after other diagnoses are excluded. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.
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