HUANG Mengju, DI Xiao, XU Weifeng, WANG Xuan, CHEN Yuexin, ZHENG Yuehong. Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 658-663. DOI: 10.12290/xhyxzz.2021-0503
Citation: HUANG Mengju, DI Xiao, XU Weifeng, WANG Xuan, CHEN Yuexin, ZHENG Yuehong. Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 658-663. DOI: 10.12290/xhyxzz.2021-0503

Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report

Funds: 

Natural Science Foundation of Beijing M22028

More Information
  • Corresponding author:

    CHEN Yuexin, E-mail: cyuexin2007@163.com

    ZHENG Yuehong, E-mail: yuehongzheng@yahoo.com

  • Received Date: June 28, 2021
  • Accepted Date: October 11, 2021
  • Available Online: June 10, 2022
  • Issue Publish Date: July 29, 2022
  • Nutcracker syndrome (NCS) is a rare disease that may cause proteinuria, renal dysfunction and varicose of genital veins. Traditional open surgery prefers left renal vein transposition, but this surgical method is more traumatic and patients often have more postoperative short-term and long-term complications affecting the quality of life. This article reports a case of a young male patient with NCS complicated with left varicocele. He was treated with left gonadal vein-inferior vena cava transposition and high ligation of spermatic vein, which achieved good results after surgery. This surgical method provides a new treatment idea for patients with NCS and varicocele, which is worthy of clinical reference.
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