Open AccessModified medial nephropexy for treatment of the anterior nutcracker syndrome
Author(s) -
Wissem Hmida,
F. Mallat,
Mouna Ben Othmen,
Faouzi Limayem,
Faouzi Mosbah
Publication year - 2014
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.141004
Subject(s) - medicine , nutcracker syndrome , left renal vein , color doppler , cystoscopy , radiology , surgery , superior mesenteric artery , angiography , ultrasonography , anatomy , urinary system , inferior vena cava
We report the case of a 15-year-old male, presenting with recurrent gross hematuria complicated by acute anemia. Cystoscopy showed little bleeding from the left ureteral orifice. Diagnosis of left renal vein compression at the aortomesenteric space was established through color Doppler ultrasonography and computed tomographic angiography. Therapeutic attitude was interventionist in our case, performing successful management with modified medial nephropexy, with a retroperitoneal approch. To the best of our knowledge, we report the second case of left medial nephropexy for treatment of the anterior nutcracker syndrome. The first case of modified medial nephropexy was done by lowering the left renal vein from its initial position in the aortomesenteric angle through a restrict retroperitoneal approach.