Renal Autotransplantation for Nutcracker Kidney after Prior Right Nephrectomy

The obstruction of renal vein outflow often causes renal vein hypertension, and this hypertension can lead to formation of collateral vessels and tributaries to compensate for outflow.1 There is no single known cause for renal vein entrapment, although contributing factors are thought to include an...

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Bibliographic Details
Published in:The American surgeon 2020-02, Vol.86 (2), p.88-89
Main Authors: Neppala, Pushpa, Chau, Harrison S., Sood, Divya, Berumen, Jennifer, Mekeel, Kristin L.
Format: Article
Language:English
Subjects:
Adult
Aorta
Bladder
Blood flow
Blood vessels
Case reports
Coronary vessels
Diagnostic systems
Entrapment
Female
Humans
Hypertension
Implants
Kidney Transplantation - methods
Kidneys
Narcotics
Nephrectomy
Nephrectomy - methods
Pain
Postoperative Complications - surgery
Renal Nutcracker Syndrome - surgery
Reoperation
Surgery
Surgical implants
Thrombosis
Transplantation, Autologous
Transplants & implants
Ureter
Veins
Veins & arteries
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Summary:The obstruction of renal vein outflow often causes renal vein hypertension, and this hypertension can lead to formation of collateral vessels and tributaries to compensate for outflow.1 There is no single known cause for renal vein entrapment, although contributing factors are thought to include an acute SMA-aorta angle, abnormal SMA branching, or an abnormally low origin of the SMA.2 The actual incidence of nutcracker syndrome is also unknown; most published data seem to be in the form of small case series or case reports. [...]there are no existing diagnostic criteria for this condition, so a high index of suspicion is needed for diagnosis. [...]the ureter was anastomosed to the bladder with running polydiaxanone suture over a 12 x 7-mm double- j ureteral stent. Pushpa Neppala B.S. University of California San Diego School of Medicine La Jolla, California Harrison S. Chau, M.D. Divya Sood M.D. Department of Surgery University of California, San Diego La Jolla, California Jennifer Berumen, M.D. Kristin L. Mekeel, M.D. Division ofTransplantation and Hepatobiliary Surgery Department of Surgery University of California, San Diego La Jolla, California Author Contributions: Pushpa Neppala: study design, article drafting, and critical review of the manuscript.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600217