Yakup BOSTANCIBOSTANCİ, Yarkin YAKUPOĞLU, Fatih ATAC, Hasan CETİN, Gurkan GENC, Hulya NALCACIOĞLU, Ender OZDEN, Ozan OZKAYA, Saban SARIKAYA

Renal vein transposition in nutcracker syndrome

Nutcracker syndrome (NS), caused by compression of the left renal vein (LRV) between the superior mesenteric artery (SMA) and the aorta, results in elevation of LRV pressure and collateral vein development. This meso-aortic compression may present with hematuria, left flank pain and proteinuria. Several treatment options have been described to relieve associated symptoms. In this paper we report a 16-years-old girl with episodic macroscopic hematuria and left flank pain who was diagnosed as NS and successfully treated with LRV transposition.

Keywords:

Hematuria, Left renal vein, Nutcracker syndrome, Transposition,

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Ahmed, K., Sampath, R., Khan, M.S., 2006. Current trends in the diagnosis and management of renal nutcracker syndrome: A review. Eur. J. Vasc. Endovasc. Surg. 31, 410-416.
Macmahon, H.E., Latorraca, R., 1954. Essential renal hematuria. J. Urol. 71, 667-676.
Menard, M.T., 2009. Nutcracker syndrome: When should it be treated and how? Perspect. Vasc. Surg. Endovasc. Ther. 21, 117-124.
Neste MG, Narasimham DL, Belcher KK., 1996. Endovascular stent placement as a treatment for renal venous hypertension. J Vasc Interv Radiol. 7, 859-861.
Pastershank, S.P., 1974 Left renal vein obstruction by a superior mesenteric artery. J. Can. Assoc. Radiol. 25, 52-54.
Rudloff, U., Holmes, R.J., Prem. J.T., Faust, G.R., Moldwin, R., Siegel, D., 2006. Mesoaortic compression of the left renal vein (nutcracker syndrome): Case reports and review of the literature. Ann. Vasc. Surg. 20, 120-129.
Shin, J.I., Park, J.M., Lee, J.S., Kim, M.J., 2007. Doppler ultrasonographic indices in diagnosing nutcracker syndrome in children. Pediatr. Nephrol. 22, 409-413.
Takebayashi, S., Ueki, T., Ikeda, N., Fujikawa, A., 1999. Diagnosis of the nutcracker syndrome with color Doppler sonography: Correlation with flow patterns on retrograde left renal venography. Am. J. Roentgenol. 172, 39-43.
Tanaka, H., Waga, S., 2004. Spontaneous remission of persistent severe hematuria in an adolescent with nutcracker syndrome: Seven years’ observation. Clin. Exp. Nephrol. 8, 68-70.
Wang, L., Yi, L., Yang, L., Liu, Z., Rao, J., Liu, L., Yang, J., 2009. Diagnosis and surgical treatment of nutcracker syndrome: A single-center experience. Urology. 73, 871-876. Bostancı et al.