Can Nutcracker be left alone?

Nutcracker phenomenon, also known as left renal vein compression syndrome, is more common in men from adolescence to about 40 years old. The onset of the disease in children is generally between 4 and 7 years old, and the most common age is between 13 and 16 years old. It is one of the common causes of non-renal hematuria in children. It is a clinical manifestation caused by the extrusion of the intersection angle between the abdominal aorta and the superior mesenteric aorta when the left renal vein joins the inferior vena cava.

For those whose symptoms have not been relieved or worsened after more than 2 years of observation or medical medication.； Those who have complications, such as backache, dizziness, and fatigue: Those with kidney function damage should choose surgical treatment to eliminate the compression of the left renal vein and make the venous blood draining from the kidney unobstructed. If you don't have any of the symptoms described, you don't need medical treatment.

There is no special treatment, and regular follow-up observation is required. Generally, with age, the fat and connective tissue at the intersection of the superior mesenteric aorta and the abdominal aorta increase, or the establishment of collateral circulation, the hemorrhage situation is sufficient to improve, and the symptoms are alleviated to a certain extent. Generally, kidney function is normal, growth and development are normal, and you can participate in normal school activities. Those with significant hematuria can avoid physical activity. Some authors believe that surgery is indicated when there is a lot of hematuria and persistent pain. At this stage, there is no unified understanding of NCS treatment, including conservative treatment, interventional surgery and surgical treatment. Indications for surgical treatment include:

If the blood pressure has been observed or treated with medical medication for more than 2 years, and the symptoms have not been alleviated or worsened, the treatment of adult NCS patients can be more proactive, and the observation is enough for 6 to 12 months;

Patients with blood complications, such as anemia, waist and rib pain, sperm varicose veins, repeated sleepiness, headaches, anxiety, etc., which have affected work or daily life;

Supplementary risk to kidney function and eliminate other causes.