A Case or Nutcracker Syndrome Surgically Corrected by Extraperitoneal Flank Approach.
- Author:
Seung Eon LEE
1
;
Sung Wan CHO
;
Seung Cheol YANG
Author Information
1. Department of Urology, Yonsei University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
nutcracker syndrome;
extraperitoneal approach;
renal vein;
hematuria
- MeSH:
Abdominal Pain;
Aorta;
Flank Pain;
Hematuria;
Hypertension;
Intestinal Obstruction;
Mesenteric Artery, Superior;
Postoperative Complications;
Rare Diseases;
Renal Veins;
Varicocele;
Vena Cava, Inferior
- From:Korean Journal of Urology
1996;37(9):1027-1030
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nutcracker syndrome is a rare disease caused by the compression of the renal vein between the aorta and superior mesenteric artery. It is known to cause of venous hypertension, peripelvic and periureteral varicosities. Clinical manifestations include varicocele, hematuria, and flank or abdominal pain. Surgical correction is needed in nutcracker syndrome cases with severe or recurrent hematuria and abdominal or flank pain. Reanastomosis of the renal vein at 5cm below the original insertion site at the inferior vena cava is the one of the most common corrective methods and the transabdominal approach is usually employed. This disease usually appears in healthy young people and in order to decrease postoperative complications such as intestinal obstruction and bowel adhesion by avoiding unnecessary intraperitoneal manipulation, the authors used the extraperitoneal approach through a flank incision. We report because, in selected cases, we consider that this extraperitoneal approach is one of the alternative methods for the usual transperitoneal approach.
