Posterior nutcracker syndrome: caused by pelvic pain

Murat Özban; Ali Ersin Zümrütbaş; Onur Birsen; Sinan Sayır; Çağatay Aydın

doi:10.5606/tgkdc.dergisi.2014.9379

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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