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KMID : 0358319960370091027
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Korean Journal of Urology
1996 Volume.37 No. 9 p.1027 ~ p.1030
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A Case of Nutcracker Syndrome Surgically Corrected by Extraperitoneal Flank Approach
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Abstract
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Nutcracker syndrome is a rare disease caused by the compression of the renal vein between the aorta and superior mesenteric artery. It is known to cause of venous hypertension, peripelvic and periureteral varicosities. Clinical manifestations
include
varicocele, hematuria, and flank or abdominal pain. Surgical correction is needed in nutcracker syndrome cases with severe or recurrent hematuria and abdominal or flank pain. Reanastomosis of the renal vein at 5cm below the orginial insertion
site
at
the inferior vena cave is the one of the most common corrective method sand the transabdominal approach is usually employed. This disease usually appears in healthy young people and in order to decrease postoperative complications such as
intestinal
obstruction and bowel adhesion by avoiding unnecessary intraperitoneal manipulation, the extraperitoneal approach through a flank incision. We report because, in selected cases, we consider that this extraperitoneal approach is one alternative
methods
for the usual transperitoneal approach.
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