Recalcitrant gross hematuria secondary to left renal vein hypertension

Left renal vein hypertension is a most uncommon and rarely a well-documented cause of gross hematuria. We report a case of lateralizing, gross hematuria resulting from left renal vein hypertension in an individual with a history of a prior Whipple procedure. The diagnosis was suspected at the time of renal angiography and proven by renal venography. Complete rapid resolution of the hematuria and hypertension was achieved following placement of a left renal vein stent.