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The nutcracker syndrome: an uncommon cause of haematuria
K R Shaper1, J E Jackson, G Williams
1Department of Urology, Hammersmith Hospital, London, UK.
Objective:
To increase the awareness of this rare cause of haematuria and to describe the operative techniques available for its treatment.
Patients And Methods:
The investigation and treatment of five patients with the nutcracker syndrome have been reviewed.
Results:
A new variant of the nutcracker syndrome is described. Using a combination of venolysis, Gortex graft renal vein interposition and an anterior nephropexy, the haematuria of four patients has ceased and improved in one.
Conclusion:
The nutcracker syndrome is a rare cause of haematuria which responds successfully to surgical treatment. Successful treatment does not appear to be related to lowering of the renal vein pressure.