Endovascular treatment of anterior nutcracker syndrome and pelvic varices in a patient with an anterior and a posterior renal vein.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
07 Sep 2020
Historique:
entrez: 9 9 2020
pubmed: 10 9 2020
medline: 12 3 2021
Statut: epublish

Résumé

There are few data on endovascular treatment of anterior nutcracker syndrome and pelvic varices in patients with anterior and posterior renal veins. Our objective is to report a case, identify occurrences and compare diagnosis and treatments. A 42-year-old woman presented with flank and pelvic pain and hematuria. She had anterior nutcracker syndrome and pelvic varices with an anterior and a posterior renal vein. A successful complete endovascular approach was done with stent implantation in the anterior renal vein and left gonadal vein embolisation. After 12-month follow-up, the patient remained asymptomatic with good results on CT. Only two case reports of patients with nutcracker syndrome with anterior and posterior renal veins were identified. In both, a self-expanding stent was implanted in the anterior renal vein. In conclusion, endovascular treatment represents a safe and successful option in patients with nutcracker syndrome and pelvic varices with an anterior and a posterior renal vein.

Identifiants

pubmed: 32900725
pii: 13/9/e235284
doi: 10.1136/bcr-2020-235284
pmc: PMC7478003
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Sergio Quilici Belczak (SQ)

IAPACE - Instituto de Aprimoramento e Pesquisa em Angiorradiologia e Cirurgia Endovascular, São Paulo, Brazil belczak@gmail.com.

Felipe Coelho Neto (F)

Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.

Walter Junior Boim de Araújo (WJB)

Universidade Federal do Paraná, Curitiba, PR, Brazil.

José Maria de Pereira Godoy (JMP)

Faculdade de Medicina de São José do Rio Preto, Sao Jose do Rio Preto, SP, Brazil.

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Classifications MeSH