A novel surgical approach for the treatment of nutcracker syndrome presenting as loin pain haematuria syndrome

@article{Bhagwanani2018ANS,
  title={A novel surgical approach for the treatment of nutcracker syndrome presenting as loin pain haematuria syndrome},
  author={Anisha Bhagwanani and Saurabh Singh and Julian Hague and Miles Walkden and Asif Muneer and Toby Richards},
  journal={Journal of Clinical Urology},
  year={2018},
  volume={11},
  pages={442 - 443}
}
A 36-year-old man with a 10-year history of recurrent episodes of loin pain and a single episode of macroscopic haematuria presented with a massive unilateral left varicocele. Ultrasound demonstrated a very large mesh of engorged veins in the scrotum, measuring over 1 cm in diameter with continuous retrograde flow. Computed tomography (CT) and catheter venogram subsequently showed obstructed outflow of the left kidney and a markedly dilated left gonadal vein with retrograde flow and capsular… CONTINUE READING

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