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Volume 13 Issue 4
Jul.  2022
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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
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Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report

  • 1.

    Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    The 14th Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China

  • 3.

    Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 4.

    Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

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
    Graphical Abstract
    • Abstract
  • 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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    • References (24)
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