title: Laparoscopy-assisted left ovarian vein transposition to treat one case of posterior nutcracker syndrome.
abstract: We report one case of posterior nutcracker syndrome treated by left ovarian vein (LOV) transposition. A 36-year-old woman was suffering from nutcracker syndrome associated with pelvic congestion syndrome. Color duplex scan, computed tomographic scan, and angiography demonstrated a stenosis of a retroaortic left renal vein with proximal dilatation and incompetence of the LOV. The renocaval pullback gradient was 10 mm Hg. The LOV was harvested laparoscopically and transposed into the inferior vena cava. Completion angiography showed a patent reconstruction with no significant gradient. At day 4, an asymptomatic thrombosis was treated by thromboaspiration. Forty months later, the patient remained asymptomatic with a patent transposition. Posterior nutcracker syndrome is a rare condition. When associated with pelvic congestion syndrome due to LOV reflux, it can be treated by LOV transposition.
authors.affiliation: Department of Vascular Surgery, North University Hospital, Marseille, France. olivier.hartung@ap-hm.fr
authors.forename: Olivier
authors.initials: O
authors.lastname: Hartung
authors.forename: Pierre
authors.initials: P
authors.lastname: Barthelemy
authors.forename: Stephane V
authors.initials: SV
authors.lastname: Berdah
authors.forename: Yves S
authors.initials: YS
authors.lastname: Alimi
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D003251:Constriction, Pathologic; D005260:Female; D021501:Flank Pain / Q000209:etiology / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012082:Renal Veins / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014656:Vascular Surgical Procedures; D014680:Veins / Q000637:transplantation; D014682:Vena Cava, Inferior / Q000601:surgery