The nutcracker syndrome: new methods of diagnosis and treatment

摘要: Objective To study the pathophysiology of nutcracker syndrome and to describe a new method treatment. Subjects methods Computerized tomography (CT) was used compare anatomical relations left renal vein with aorta superior mesenteric artery in three patients control group 12 healthy kidney donors. Results Abnormal branching from arota identified as cause nutcraker syndrome. Two were treated by autotransplantation kidney, while third refused surgery. In haematuria ceased 4 6 weeks after Postoperative excretory urography repeated isotopic studies revealed perfect configuration function autotransplanted kidneys. The remain asymptomatic months surgery. Conclusion angiographic CT must be considered before phlebography pressure measurement vein. If diagnosis is established, treatment alternative.