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Case Reports
. 2024 Jun 10:16:131-135.
doi: 10.2147/RRU.S446710. eCollection 2024.

Case Report; Concomitant Left Nutcracker Syndrome and Right Ureteropelvic Junction Obstruction

Mintesnot Yitagesu Kidane  1 , Adugna Getachew Mideksa  1 , Mubarek Bargicho Adem  1 , Fitsum Gebreegziabher Gebrehiwot  1 , Ramzi Yessuf Adem  1 , Mensur Mohammed Ahmed  1 , Abebe Ketema Aderu  1 , Mintesnot Tadesse Berta  1
Affiliations
Case Reports

Case Report; Concomitant Left Nutcracker Syndrome and Right Ureteropelvic Junction Obstruction

Mintesnot Yitagesu Kidane et al. Res Rep Urol. .

Abstract

We report rare case of concomitant left nutcracker syndrome and right ureteropelvic junction obstruction (UPJO) on adult female patient diagnosed by CT urogram after she presented with intermittent bilateral flank pain. For this we did Anderson-Hynes pyeloplasty for right ureteropelvic obstruction, it was laparoscopic initially but due to difficulty of stenting it is changed to open. She had smooth post-op course then discharged on 3rd post-op day. Symptoms of nutcracker syndrome are not that much bothersome for the patient so we planned to follow her conservatively.

Keywords: UPJO; nutcracker syndrome; pyeloplasty; ureteropelvic junction obstruction.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Cross-sectional image of patient showed left renal vein (R) compressed between SMA (S) and aorta (A) with dilatation of left renal vein. Dilated right renal pelvis (p) can also be seen.
Figure 2
Figure 2
Cross-sectional image shows dilated left gonadal vein (g) going along side the aorta (a) and dilated right renal pelvis (p).
Figure 3
Figure 3
(A) coronal images showed dilated left gonadal vein (G). (B) right UPJO on delayed film with no passage of contrast to right ureter (P).
Figure 4
Figure 4
Sagittal view shows narrow angle between aorta and SMA, around 18° also slit of renal vein seen while passing between SMA and aorta.
See this image and copyright information in PMC

References

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