The role of renal autotransplantation in treatment of nutcracker syndrome.
To report our experience with renal autotransplantation in treatment of gross hematuria caused by nutcracker Syndrome (NCS). Between September 2005 and January 2008, four patients of mean age 25.5 years (range: 23-28) with gross hematuria were diagnosed to have NCS. Investigations revealed isolated hematuria on urinalysis, a bloody efflux from left ureteral orifice by urethrocystoscopy, dilatation of left renal vein (LRV) with significant difference in peak systolic velocity in colour doppler ultrasonography (CDUS) and dilatation and compression of LRV between aorta and superior mesenteric artery in MRA. After operation, hematuria dis-appeared in all patients. No vascular or urological complication was seen. Follow up ranged from 4 to 24 months. In conclusion, autotransplatation of left kidney is very effective for the treatment of symptomatic NCS.
Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran. salehipour@sums.ac.ir
Mehdi
M
Salehipour
Alireza
A
Rasekhi
Mehdi
M
Shirazi
Abdolreza
A
Haghpanah
Shahrokh
S
Jahanbini
Seyed Ali
SA
Eslahi
D000328:Adult; D003251:Constriction, Pathologic; D003558:Cystoscopy; D004108:Dilatation, Pathologic; D005260:Female; D006417:Hematuria / Q000209:etiology / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000098:blood supply*; D016030:Kidney Transplantation / Q000009:adverse effects; D018810:Magnetic Resonance Angiography; D008297:Male; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013577:Syndrome; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014652:Vascular Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult