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Prosthetic left renocaval bypass for posterior nutcracker syndrome
Xuepei Zhang1, Shengzheng Wang1, Jinxing Wei1
1Department of Urology, The First Affiliated Hospital, Zhengzhou University, 1 Jianshe East Road, Zhengzhou, 450001 China.
The Indian Journal of Surgery
|May 15, 2015
Summary
Severe hematuria and flank pain were treated with a prosthetic left renocaval bypass for posterior nutcracker syndrome. This surgical technique proved effective, resolving the patient's symptoms with a functional graft.
Area of Science:
- Vascular Surgery
- Nephrology
- Urology
Background:
- Posterior nutcracker syndrome presents with severe hematuria and flank pain.
- Diagnosis can be challenging due to unknown origin of symptoms.
Purpose of the Study:
- To evaluate the efficacy of prosthetic left renocaval bypass for posterior nutcracker syndrome.
- To assess the surgical treatment outcomes for this condition.
Main Methods:
- A 58-year-old male patient diagnosed with posterior nutcracker syndrome underwent surgery.
- Surgical procedure involved a prosthetic left renocaval bypass.
- Computed tomography was used for post-operative assessment.
Main Results:
- The patient experienced complete resolution of severe hematuria and left flank pain.
- Computed tomography confirmed a functional graft between the left renal vein and the caval vein.
Conclusions:
- Prosthetic left renocaval bypass is a feasible surgical option for posterior nutcracker syndrome.
- This surgical technique yields satisfactory results in treating posterior nutcracker syndrome.
