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Anterior Nutcracker Syndrome: First Surgically Managed Case Reported in Benin
Abdel Kémal Bori Bata1,2, Joseph Akodjenou3, Ahmad Ibrahim2
1University Visceral Surgery Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.
Background:
Nutcracker syndrome is a rare condition caused by compression of the left renal vein, often underdiagnosed in adolescents.
Case Description:
We report a 16-year-old male with painful left testicular swelling and grade 3 varicocele. Imaging confirmed anterior nutcracker syndrome. He underwent successful left renal vein transposition with complete symptom resolution and normal imaging at 24 months.
Conclusion:
Nutcracker syndrome should be considered in young patients with varicocele and testicular pain. Renal vein transposition is a safe and effective treatment when conservative approaches fail, with long-term clinical and radiological benefits.
