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

Abstract

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

Consent for Publication

Written and signed informed consent was obtained from the patient for publication of this case report and accompanying images. No need of ethical clearance from institution for publication of the case report.

Acknowledgment

We would like to acknowledge Dr Ali Ibrahim and Dr Abdurahman yessuf, both were involved in the case management.

Disclosure

The authors report no conflicts of interest in this work.

Additional information

Funding

There is no funding to report.