Abstract

1. Abstract
1.1. Background: The Nutcracker Syndrome (NS) consists of the compression of the left renal vein causing a regime of high venous pressures that affected the retroperitoneum. Hematuria is the most common clinical symptom. The clinical investigation is carried out with Doppler Ultrasonography or Abdominal Angiotomography. The treatment is based on the measurement of symptoms, and invasive treatments are reserved for symptomatic patients who present severe symptoms or are refractory to conservative treatment. Age is an important factor in clinical management, and patients under 18 years-old have a tendency to conservative approach based on clinical observation and lifestyle changes.
The importance of this case report is to present a minimally invasive alternative treatment as an option (flexible ureteroscopy with cauterization of renal papillae) to open surgery and endovascular procedures.