Nutcracker Syndrome: laparoscopic external stenting of the renal vein (“the shield technique”)

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Nutcracker Syndrome: laparoscopic external stenting of the renal vein (“the shield technique”)

Nutcracker syndrome refers to the complex of clinical symptoms caused by the compression of the left renal vein (LRV) between the abdominal aorta and the superior mesenteric artery, leading to stenosis of the aortomesenteric portion of the LRV and dilatation of the distal portion. Hematuria, proteinuria, flank pain, varicocele and pelvic congestion may occur, occurring more frequently in young ...

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Renal Vein Stenting for Nutcracker Syndrome

APRIL 2010 I ENDOVASCULAR TODAY I 25 E ntrapment of the left renal vein (LRV) between the abdominal aorta and superior mesenteric artery (SMA) causing the classic clinical triad of hematuria, varicocele, and left abdominal or flank pain was first described in 1950.1 Later, this array of symptoms was termed “the nutcracker syndrome” by De Schepper in 1972.2 Endovascular technology has evolved as...

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A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome

Posterior nutcracker syndrome occurs when a retroaortic left renal vein becomes compressed between the abdominal aorta and the lumbar spine. Although open surgical approaches remain the treatment of choice, endovascular stenting has been used successfully. We describe a case of a 28-year-old man who presented with microscopic hematuria, left-sided flank pain, and testicular swelling. Computed t...

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Left renal vein transposition for treatment of the Nutcracker syndrome.

The nutcracker syndrome refers to compression of the left renal vein between the aorta and the superior mesenteric artery, which results in renal vein and left gonadal vein varices. Herein, we report our experience with left renal vein transposition for treatment of the nutcracker syndrome. To the best of our knowledge, this is the first reported case of the left renal vein transposition for tr...

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Endovascular stenting for nutcracker syndrome.

Nutcracker syndrome (NCS) is a rare pathology manifested by pain or hematuria in males and females alike. It can be easily overlooked, and should be considered in young men or women with symptoms of extended duration. We present a case of a 54-year-old female with chronic lower abdominal pain radiating to the left thigh of 4 years in duration. Computed tomography (CT) eventually revealed engorg...

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ژورنال

عنوان ژورنال: International braz j urol

سال: 2017

ISSN: 1677-5538

DOI: 10.1590/s1677-5538.ibju.2015.0666