Expandable metallic stent placement for nutcracker phenomenon

A 40-year-old woman presented with asymptomatic gross hematuria caused by the nutcracker phenomenon. Despite treatment with hemostatic agents and injection of silver nitrate into the renal pelvis, the hematuria had continued, and severe anemia (hematocrit 17%) had developed. We performed expandable...

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Published inUrology (Ridgewood, N.J.) Vol. 53; no. 3; pp. 631 - 633
Main Authors Segawa, Naoki, Azuma, Haruhito, Iwamoto, Yusaku, Sakamoto, Takeshi, Suzuki, Toshiaki, Ueda, Haruhiko, Yamamoto, Kazuhiro, Shimizu, Tadafumi, Kichikawa, Kimihiko, Katsuoka, Yoji
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.1999
Subjects
Adult
Female
Hematuria
Humans
Renal Veins
Stents
Superior Mesenteric Artery Syndrome - surgery
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Summary:A 40-year-old woman presented with asymptomatic gross hematuria caused by the nutcracker phenomenon. Despite treatment with hemostatic agents and injection of silver nitrate into the renal pelvis, the hematuria had continued, and severe anemia (hematocrit 17%) had developed. We performed expandable metallic stent (EMS) placement across the left renal vein. Although mild hematuria continued, the anemia resolved after this interventional radiotherapy. EMS placement is a minimally invasive therapy for the nutcracker phenomenon.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(98)00355-0