Laparoscopy-assisted left ovarian vein transposition to treat one case of posterior nutcracker syndrome.

Abstract:

:We report one case of posterior nutcracker syndrome treated by left ovarian vein (LOV) transposition. A 36-year-old woman was suffering from nutcracker syndrome associated with pelvic congestion syndrome. Color duplex scan, computed tomographic scan, and angiography demonstrated a stenosis of a retroaortic left renal vein with proximal dilatation and incompetence of the LOV. The renocaval pullback gradient was 10 mm Hg. The LOV was harvested laparoscopically and transposed into the inferior vena cava. Completion angiography showed a patent reconstruction with no significant gradient. At day 4, an asymptomatic thrombosis was treated by thromboaspiration. Forty months later, the patient remained asymptomatic with a patent transposition. Posterior nutcracker syndrome is a rare condition. When associated with pelvic congestion syndrome due to LOV reflux, it can be treated by LOV transposition.

journal_name

Ann Vasc Surg

authors

Hartung O,Barthelemy P,Berdah SV,Alimi YS

doi

10.1016/j.avsg.2008.08.026

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

413.e13-6

issue

3

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(08)00331-2

journal_volume

23

pub_type

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