• Medicine · Jan 2023

    Case Reports

    Robotic-assisted combined transposition of left renal vein and gonadal vein as a novel treatment option for renal nutcracker syndrome: A case report.

    • Hua Wang, Zhansen Huang, Cheng Hu, Jieying Wu, Qunxiong Huang, Tengcheng Li, and Jinming Di.
    • Department of Urology, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
    • Medicine (Baltimore). 2023 Jan 13; 102 (2): e32509e32509.

    RationaleRenal nutcracker syndrome is a rare phenomenon that often causes various disability symptoms. The treatment protocol has been explored for a long time, but no consensus has been reached.Patient ConcernsHere, we report the case of a 19-year-old male suffering with nutcracker syndrome, including left-sided flank pain and intermittent gross hematuria.DiagnosesThe patient was diagnosed with renal nutcracker syndrome, and the pressure gradient between the left renal vein and inferior vena cava was >5 mm Hg.InterventionsThe patient underwentrobotic-assisted combined transposition of left renal vein and gonadal vein.OutcomesFlank pain and gross hematuria ceased spontaneously after surgery without occurrence.LessonsRobotic-assisted combined transposition of the left renal vein and gonadal vein is a safe and promising option for this condition.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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