Author/Authors :
Salehipour, Mehdi shiraz university of medical sciences - Department of Urology, شيراز, ايران , Rasekhi, Alireza shiraz university of medical sciences - Department of Radiology, شيراز, ايران , Shirazi, Mehdi shiraz university of medical sciences - Department of Urology, شيراز, ايران , Haghpanah, Abdolreza shiraz university of medical sciences - Department of Urology, شيراز, ايران , Jahanbini, Shahrokh shiraz university of medical sciences - Department of Urology, شيراز, ايران , Eslahi, Ali shiraz university of medical sciences - Department of Urology, شيراز, ايران
Abstract :
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.
