In this case report, we present that this method in children with NCS is a safe and effective method.
📌 3 Key Takeaways
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Objective & Hypothesis:Patients with nutcracker syndrome (NCS) associated left varicocele are at high risk of varicocele recurrence when treated only with routine surgical approach for varicocele.
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Key Findings & Data:An eleven year-old boy who had mild symptoms for NCS and left grade 3 varicocele referred to our clinic.
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Conclusion & Impact:In this case report, we present that this method in children with NCS is a safe and effective method.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Özet
Patients with nutcracker syndrome (NCS) associated left varicocele are at high risk of varicocele recurrence when treated only with routine surgical approach for varicocele. An eleven year-old boy who had mild symptoms for NCS and left grade 3 varicocele referred to our clinic. To cure varicocele and to decrease left renal vein pressure, an end to end anastomosis was performed between left spermatic vein and inferior epigastric vein after inguinal microscopic varicocelectomy. His six months follow-up was uneventful. In this case report, we present that this method in children with NCS is a safe and effective method.
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Cite This Article
TÜREDİ, B., SİGNAK, I. S., YİLMAZ, M. U., CELİK, F., UTANĞAÇ, M. M., BALKAN, M. E., KİLİC, N. (2020). Inguinal microscopic varicocelectomy with spermatic vein - inferior epigastric vein anastomosis in a child with nutcracker syndrome: A case report. Pediatric Urology Case Reports, Cilt: 7 - Sayı: 3, 82–87. https://ajindex.com/articles/285514
Ali-El-Dein B, Osman Y, Shebab El-Din AB, et al. Anterior and posterior nutcracker syndrome: a report on 11 cases. Transplant Proc. 2003; 35(2): 851-53
El-Sadr AR, Mina E. Anatomical and surgical aspects in the operative management of varicocele. Urol Cutan Rev.1950; 54(5): 257-62
Wendel RG, Crawford ED, Hehman KN. The ‘’nutcracker’’ phenomenon: an unusual cause for renal varicosities with hematuria. J Urol. 1980; 123(5): 761-63
Gong XY, Zheng W, Du H, et al. Treatment of nutcracker syndrome with spermatic vein ligation and iliac vein anastomosis: case report of three cases. Asian Pac J Trop Med. 2012; 5(11): 923-24
Kurlinsky AK, Rooke TW. Nutcracker Phenomenon and Nutcracker Syndrome. Mayo Clin Proc. 2010; 85(6): 552-59
Hai Li, Zhang M, Jiang Y, et al. Microsurgical spermatic –inferior epigastric vein anastomosis for treating nutcracker syndrome-associated varicocele in infertile men: a preliminary experience. Urology. 2014; 83(1): 94-99
Kim WS, Cheon JE, Kim IO, et al. Hemodynamic investigation of the left renal vein in pediatric varicocele: Doppler US, venography, and pressure measurements. Radiology. 2006; 241(1): 228-34
Takebayashi S, Ueki T, Ikeda N, et al. Diagnosis of the nutcracker syndrome with color doppler sonography: correlation with flow patterns on retrograde left renal venography. AJR Am J Roentgenol. 1999; 172(1): 39-43
Alaygut D, Bayram M, Soylu A, et al. Clinical course of children with nutcracker syndrome. Urology. 2013; 82(3): 686-90
Hohenfellner M, D’elia G, Hampel C, et al. Transposition of the left renal vein for treatment of the nutcracker phenomenon: long term follow-up. Urology. 2002; 59(3): 354-57
Pastershank SP. Left renal vein obstruction by a superior mesenteric artery. J Can Assoc Radiol. 1974; 25(1): 52-54
Li F, Yue H, Yamaguchi K, et al. Effect of surgical repair on testosterone production in infertile mennwith varicocele: a metaanalysis. Int J Urol. 2012;19(2): 149-54
Segawa N, Azuma H, Iwamoto Y, et al. Expandable metallic stent placement for nutcracker phenomenon. Urology. 1999; 53(3): 631-33
Dong W, Yao Y, Huang H, et al. Surgical management of nutcracker phenomenon presenting as left varicocele in adolescents: a novel approach. J Pediatr Urol. 2014; 10(3): 424-29
Silveri M, Adorisio O, Pane A, et al. Subinguinal microsurgical ligation – its effectiveness in pediatric and adolescent varicocele. Scand J Urol Nephrol. 2003; 37(1): 53-54.