OBJECTIVE: To increase the awareness of this rare cause of haematuria and to describe the operative techniques available for its treatment. PATIENTS AND METHODS: The investigation and treatment of five patients with the nutcracker syndrome have been reviewed. RESULTS: A new variant of the nutcracker syndrome is described. Using a combination of venolysis, Gortex graft renal vein interposition and an anterior nephropexy, the haematuria of four patients has ceased and improved in one. CONCLUSION: The nutcracker syndrome is a rare cause of haematuria which responds successfully to surgical treatment. Successful treatment does not appear to be related to lowering of the renal vein pressure.
OBJECTIVE: To increase the awareness of this rare cause of haematuria and to describe the operative techniques available for its treatment. PATIENTS AND METHODS: The investigation and treatment of five patients with the nutcracker syndrome have been reviewed. RESULTS: A new variant of the nutcracker syndrome is described. Using a combination of venolysis, Gortex graft renal vein interposition and an anterior nephropexy, the haematuria of four patients has ceased and improved in one. CONCLUSION: The nutcracker syndrome is a rare cause of haematuria which responds successfully to surgical treatment. Successful treatment does not appear to be related to lowering of the renal vein pressure.
Authors: Federica A Vianello; Marta B M Mazzoni; Gabriëlla G A M Peeters; Emilio F Fossali; Pietro Camozzi; Mario G Bianchetti; Gregorio P Milani Journal: Pediatr Nephrol Date: 2015-01-28 Impact factor: 3.714