Case Report; Concomitant Left Nutcracker Syndrome and Right Ureteropelvic Junction Obstruction

Abstract

Mintesnot Yitagesu Kidane, Adugna Getachew Mideksa, Mubarek Bargicho Adem, Fitsum Gebreegziabher Gebrehiwot, Ramzi Yessuf Adem, Mensur Mohammed Ahmed, Abebe Ketema Aderu, Mintesnot Tadesse Berta Department of Surgery, Urology Division at St. Paul Hospital and Millennium Medical College, Addis Ababa, EthiopiaCorrespondence: Mintesnot Yitagesu Kidane; Adugna Getachew Mideksa, Email [email protected]; [email protected]: We report rare case of concomitant left nutcracker syndrome and right ureteropelvic junction obstruction (UPJO) on adult female patient diagnosed by CT urogram after she presented with intermittent bilateral flank pain. For this we did Anderson-Hynes pyeloplasty for right ureteropelvic obstruction, it was laparoscopic initially but due to difficulty of stenting it is changed to open. She had smooth post-op course then discharged on 3rd post-op day. Symptoms of nutcracker syndrome are not that much bothersome for the patient so we planned to follow her conservatively.Keywords: nutcracker syndrome, ureteropelvic junction obstruction, pyeloplasty, UPJO

Keywords

• nutcracker syndrome
• ureteropelvic junction obstruction
• pyeloplasty