Reference : Hematurie causee par un "nutcracker syndrome" ou "syndrome du casse-noisettes": confirma...
Scientific journals : Article
Human health sciences : Urology & nephrology
http://hdl.handle.net/2268/4680
Hematurie causee par un "nutcracker syndrome" ou "syndrome du casse-noisettes": confirmation peroperatoire de sa realite
French
[en] Hematuria caused by nutcracker syndrome: Peroperative confirmation of its presence
Andrianne, Robert mailto [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques]
Limet, Raymond mailto [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique]
Waltregny, David mailto [Université de Liège - ULg > Département des sciences biomédicales et précliniques > Labo de recherche sur les métastases >]
de Leval, Jean mailto [Université de Liège - ULg > Département des sciences cliniques > Urologie >]
Dec-2002
Progrès en Urologie
12
6
1323-6
Yes (verified by ORBi)
International
1166-7087
[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.
http://hdl.handle.net/2268/4680

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Restricted access
Pub#22 Progr Urol Nutcracker 2002.pdfNo commentaryPublisher postprint221.79 kBRequest copy

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.