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10.5606/tgkdc.dergisi.2014.9379
Posterior nutcracker syndrome: caused by pelvic pain
Murat Özban1, Ali Ersin Zümrütbaş2, Onur Birsen1, Sinan Sayır1, Çağatay Aydın1
Department of General Surgery, Medical Faculty of Pamukkale University, Denizli, Turkey
1Departments of General Surgery, Medical Faculty of Pamukkale University, Denizli, Turkey
2Departments of Urology, Medical Faculty of Pamukkale University, Denizli, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.9379
Posterior nutcracker syndrome is one of the abdominal
venous entrapments caused by compression of the left
renal vein between the vertebral column and the abdominal
aorta. In this article, we report our first experience in a
patient with posterior nutcracker syndrome who was
referred to our clinic with pelvic congestion symptoms.
A 39-year-old female patient was admitted to our clinic
with the complaint of pelvic pain especially on the left
side. Abdominal computed tomography angiography
demonstrated vascular congestion appearance extending
from pelvis at retroperitoneal space on the left side. Endto-
side gonadocaval bypass was performed to the patient.
Postoperative abdominopelvic tomography revealed
that perirenal and retroperitoneal hematoma resolved
completely. All of her previous complaints disappeared
in the second postoperative months. We believe that
gonadocaval bypass is an open surgical procedure which
can be safely performed for selected patients.
Keywords : Gonadocaval bypass; pelvic pain; posterior nutcracker syndrome
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