Can Nutcracker Syndrome Cause Secondary Hypertension? Two Case Reports

Nutcracker syndrome (NCS) was first described by Grand in 1944 as compression of the left renal vein with the superior artery (SMA)between the abdominal aorta. Although there are a limited number of clinical studies on NCS, the most common symptoms andsigns are left side pain, hematuria and proteinuria due to venous hypertension of the left kidney. Dyspareunia, dysuria, dysmenorrhea, scrotal and varicose vein formation in the lower extremity, abdominal pain are other rare symptoms and signs. Rarely, NCS hasbeen reported to cause arterial hypertension. We found NCS in two young patients who were investigated for secondary reasons ofarterial hypertension, and we decided to present them in this study.