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Case Report
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| Posterior nutcracker syndrome with left renal vein duplication as a cause of gross hematuria and recurrent left varicocele in an eight-year-old boy | ||||||
| Malek Barka1, Faouzi Mallat2, Wissem Hmida2, Sidiya Ould Chavey3, Khaled Ben Ahmed2, Amel Ben Abdallah3, Kalthoum Tlili4 | ||||||
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1MD,General Surgery Department, SahloulHospital, Sousse.
2MD,Urology Department, SahloulHospital, Sousse. 3MD, Radiology Department, Sahloul Hospital, Sousse. 4Professor, Radiology Department, Sahloul Hospital, Sousse, Email ID: tlilikalthoum@yahoo.fr | ||||||
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| How to cite this article |
| Barka M, Mallat F, Hmida W, Chavey SO, Ahmed KB, Abdallah AB, Tlili K. Posterior nutcracker syndrome with left renal vein duplication as a cause of gross hematuria and recurrent left varicocele in an eight-year-old boy. Int J Case Rep Images 2014;5(8):572–575. |
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Abstract
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Introduction:
The posterior nutcracker syndrome with duplication of the left renal vein is extremely rare, especially in childhood, and often misdiagnosed because it embraces an extended non-pathognomonic spectrum of symptoms which imply a difficult diagnosis.
Case Report: An eight-year-old boy with a history of left varicocele treated by Palomo technique one year ago, presented with intermittent painless hematuria. Systemic examination revealed high degree of left varicocele. An abdominal computed tomography scan revealed left renal vein duplication. The retroaortic branch was compressed between aorta and the vertebral column, suggesting posterior nutcracker syndrome with left renal vein duplication. Transposition of the posterior branch of left renal vein or autotransplantation of the left kidney were decided, but refused by parents of the patient and only the varicocele was managed.The child is currently asymptomatic and proposed to clinical and analytical assessment. Conclusion: Although posterior nutcracker syndrome with duplication of the left renal vein is a rare entity, it should be considered in the differential diagnosis of hematuria and recurrent varicocele. | |
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Keywords:
Posterior nutcracker syndrome, Renal vein duplication, Hematuria, Recurrent varicocele
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Author Contributions
Malek Barka – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Faouzi Mallat – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellrctual content, Final approval of the version to be published Wissem Hmida – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellrctual content, Final approval of the version to be published Sidiya Ould Chavey – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published Khaled Ben Ahmed – Substantial contributions to conception and design, Aquisition of data, Drafting the article, Final approval of the version to be published Amel Ben Abdallah – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published Kalthoum Tlili – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellrctual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Malek Barka et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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