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. 1994 Aug;74(2):144-6.
doi: 10.1111/j.1464-410x.1994.tb16575.x.

The nutcracker syndrome: an uncommon cause of haematuria

K R Shaper  1 , J E Jackson, G Williams
Affiliations

The nutcracker syndrome: an uncommon cause of haematuria

K R Shaper et al. Br J Urol. 1994 Aug.

Abstract

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.

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