Article (Scientific journals)
Hematurie causee par un "nutcracker syndrome" ou "syndrome du casse-noisettes": confirmation peroperatoire de sa realite
Andrianne, Robert; Limet, Raymond; Waltregny, David et al.
2002In Progrès en Urologie, 12 (6), p. 1323-6
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Abstract :
[en] Nutcracker syndrome should be considered in the case of left ureteric haematuria based on computed tomography with vascular reconstruction of the hilar region of the kidney. The best confirmation is obtained by studying the pressure gradient between the left renal vein and the inferior vena cava during cavography. Various modalities of surgical treatment have been proposed by a few authors, but have been criticised by some authors who question the clinical reality of this syndrome and the efficacy of treatment. The decision to operate may be difficult and other investigations may be useful to confirm the diagnosis. We report the case of a patient in whom the diagnosis of nutcracker syndrome was confirmed intraoperatively by the immediate appearance of massive, reversible haematuria induced by clamping of the renal vein during vein dissection and augmentation plasty. In the light of this original case, we believe that a preoperative percutaneous haematuria provocation test by temporary obstruction of the left renal vein during venography could allow a more formal diagnosis of nutcracker syndrome when this syndrome is highly suspected.
Disciplines :
Urology & nephrology
Author, co-author :
Andrianne, Robert ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Waltregny, David  ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Labo de recherche sur les métastases
de Leval, Jean ;  Université de Liège - ULiège > Département des sciences cliniques > Urologie
Language :
French
Title :
Hematurie causee par un "nutcracker syndrome" ou "syndrome du casse-noisettes": confirmation peroperatoire de sa realite
Alternative titles :
[en] Hematuria caused by nutcracker syndrome: Peroperative confirmation of its presence
Publication date :
December 2002
Journal title :
Progrès en Urologie
ISSN :
1166-7087
eISSN :
2405-5131
Publisher :
Elsevier Masson, Paris, France
Volume :
12
Issue :
6
Pages :
1323-6
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 24 January 2009

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