Surgical Treatment for Nutcracker Syndrome associated with Pelvic Congestion: Two Case Reports

Nutcracker Syndrome (NCS) is a known cause of Pelvic Congestion Syndrome (PCS), which sometimes interferes with daily life. We encountered two cases of NCS with PCS, and performed gonadal vein transposition for one case, and renal vein and gonadal vein transposition for the other case, both achieving good results. There are various treatment options for NCS and PCS, including surgery and endovascular treatment. It is important to identify whether both syndromes coexist or not, and to consider the optimal intervention for each syndrome.