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Nephrol Dial Transplant (2000) 15: 99-101
© 2000 European Renal Association-European Dialysis and Transplant Association

Case Reports

Nutcracker syndrome: intravascular stenting approach

Yong Bum Park1, Seong Hoon Lim1, Joo Hee Ahn1, Eungtaek Kang1, Soon Chul Myung2, Hyung Jin Shim3 and Suk Hee Yu1

1 Department of Internal Medicine, 2 Department of Urology and 3 Department of Radiology, Chung-Ang University Hospital, Seoul, Korea

Correspondence and offprint requests to: Eungtaek Kang, MD, Division of Nephrology, Department of Internal Medicine, Chung-Ang University Hospital, 82-1, Pil-dong 2Ka, Chung Ku, Seoul, (100-272) South Korea.

Keywords: intravascular stenting; nutcracker syndrome



   Introduction
 
The clinical syndrome caused by impingement of the left renal vein (LRV) between the superior mesenteric artery (SMA) and abdominal aorta has been termed Nutcracker syndrome [1]. Although often asymptomatic, it may result in varicocele, ovarian vein syndrome, haematuria, flank or abdominal pain, LRV hypertension, and pelviureteral varices. Surgical approaches for Nutcracker syndrome include nephrectomy, nephropexy, renocaval reimplantation, or auto-transplantation. We satisfactorily treated a middle-aged man with Nutcracker syndrome accompanied by renal enlargement, persistent haematuria, proteinuria and hypertension with a new intravascular stent.



   Case
 
A 47-year-old man was referred from a urologist for hypertension, microscopic haematuria and left renomegaly; left varicocelectomy was performed 7 years ago. Physical examination was unremarkable . . . [Full Text of this Article]



   Discussion
 


   References
 

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Home page
 PERSPECT VASC SURG ENDOVASC THERHome page
M. T. Menard
Nutcracker Syndrome: When Should It Be Treated and How?
Perspectives in Vascular Surgery and Endovascular Therapy, June 1, 2002; 21(2): 117 - 124.
[Abstract] [PDF]