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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 2  |  Page : 237-241
The role of renal autotransplantation in treatment of nutcracker syndrome


1 Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence Address:
Mehdi Salehipour
Department of Urology, Faghihi Hospital, Shiraz
Iran
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PMID: 20228506

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To report our experience with renal autotransplantation in treatment of gross hema­turia caused by nutcracker Syndrome (NCS). Between September 2005 and January 2008, four pa­tients of mean age 25.5 years (range: 23-28) with gross hematuria were diagnosed to have NCS. Investigations revealed isolated hematuria on urinalysis, a bloody efflux from left ureteral orifice by urethrocystoscopy, dilatation of left renal vein (LRV) with significant difference in peak sys­tolic velocity in Colour Doppler UltraSonography (CDUS) and dilatation and compression of LRV between aorta and superior mesenteric artery in MRA. After operation, hematuria dis­appeared in all patients. No vascular or urological complication was seen. Follow up ranged from 4 to 24 months. In conclusion, autotransplatation of left kidney is very effective for the treatment of symptomatic NCS.


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