{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:05:10Z","timestamp":1753887910753,"version":"3.41.2"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo A s\u00edndrome do quebra-nozes (ou s\u00edndrome de nutcracker) \u00e9 causada pela compress\u00e3o da veia renal esquerda pela art\u00e9ria mesent\u00e9rica superior e aorta, e est\u00e1 associada a uma sintomatologia caracter\u00edstica, como dor no baixo ventre, varicocele e hemat\u00faria. O diagn\u00f3stico \u00e9 frequentemente dif\u00edcil e, portanto, demorado. O tratamento invasivo \u00e9 controverso, especialmente nos pacientes pedi\u00e1tricos; no entanto, em casos de hemat\u00faria severa associada a anemia, insufici\u00eancia renal funcional, severa dor p\u00e9lvica ou inefic\u00e1cia de tratamento conservador, ele \u00e9 indicado. \u00c9 relatado o caso de uma crian\u00e7a do sexo masculino, 12 anos, com quadro de hemat\u00faria maci\u00e7a por 12 horas, sem evid\u00eancias de altera\u00e7\u00f5es \u00e0 investiga\u00e7\u00e3o inicial, que evoluiu com anemia intensa e reten\u00e7\u00e3o urin\u00e1ria. Investiga\u00e7\u00f5es futuras evidenciaram imagens sugestivas da s\u00edndrome de nutcracker e foi optado pelo tratamento endovascular por implante de stent smart control seguido de balonamento. Paciente cessou a hemat\u00faria ap\u00f3s o procedimento e permanece assintom\u00e1tico h\u00e1 5 anos.<\/jats:p>","DOI":"10.1590\/1677-5449.180126","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T21:36:13Z","timestamp":1589232973000},"source":"Crossref","is-referenced-by-count":1,"title":["Tratamento endovascular da s\u00edndrome do quebra-nozes em adolescente: relato de caso"],"prefix":"10.1590","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1458-5276","authenticated-orcid":false,"given":"Sergio Quilici","family":"Belczak","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Camilo,  Brasil; Instituto de Aprimoramento e Pesquisa em Angiorradiologia e Cirurgia Endovascular,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9a","family":"Luz","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Camilo,  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