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Title: 精索静脈瘤破裂を来たしたナットクラッカー現象に対し自家腎移植を施行した1例
Other Titles: Renal Autotransplantation for the Treatment of Nutcracker Phenomenon which Caused Varicocele Rupture : A Case Report
Authors: 竹澤, 健太郎  KAKEN_name
中澤, 成晃  KAKEN_name
米田, 傑  KAKEN_name
谷川, 剛  KAKEN_name
藤田, 和利  KAKEN_name
奥見, 雅由  KAKEN_name
細見, 昌弘  KAKEN_name
山口, 誓司  KAKEN_name
Author's alias: Takezawa, Kentaro
Nakazawa, Shigeaki
Yoneda, Suguru
Tanigawa, Go
Fujita, Kazutoshi
Okumi, Masayoshi
Hosomi, Masahiro
Yamaguchi, Seiji
Keywords: Nutcracker phenomenon
Autotransplantation
Varicocele
Rupture
Issue Date: Apr-2011
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 57
Issue: 4
Start page: 213
End page: 216
Abstract: A 31-year-old man visited our hospital complainingof swellingin the left scrotum. Five days previously, he had felt sudden pain in the left lower abdomen and noticed swellingin the left scrotum. He had been sufferingfrom intermittent gross hematuria and left flank pain for 1 year. An elastic hard mass was palpable in the left scrotum. Scrotal hematoma and marked dilation of left renal vein and left gonadal vein were revealed by computed tomography. A diagnosis of varicocele rupture secondary to nutcracker phenomenon was made. One month later, he underwent retroperitoneal laparoscopic donor nephrectomy and subsequent renal autotransplantation into the left iliac fossa. The post-operative course was uneventful. Gross hematuria was resolved 3 days after the operation, and swellingin the left scrotum was resolved within 6 months of the operation. Surgical intervention to treat nutcracker phenomenon is considered controversial. We believe that our procedure is a reliable option for surgical treatment for nutcracker phenomenon.
Rights: 許諾条件により本文は2012-05-01に公開
URI: http://hdl.handle.net/2433/141820
PubMed ID: 21646854
Appears in Collections:Vol.57 No.4

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