Left renal vein reimplantation with the application of testicular ileac anastomosis in a patient with the nutcracker syndrome: Clinical case

The clinical picture of “the nutcracker syndrome” is represented by hematuria, pain in the left lumbar region and left sided varicocele in men and pudendal varicosity in women. These symptoms occur due to the development of phlebohypertension in the left renal vein as a result of abnormal compression of the latter between the aorta and the superior mesenteric artery. The presented clinical case demonstrates the effectiveness of the left renal vein transposition with the application of testicular ileac anastomosis as a pathogenetically substantiated method of treatment.