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Serial ganglion impar blocks in a patient with nutcracker syndrome refractory to left renal vein transposition: a case report

Authors :
Shawn Banon
Ioannis Skaribas
Source :
Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-4 (2020)
Publication Year :
2020
Publisher :
BMC, 2020.

Abstract

Abstract Background Nutcracker syndrome is a rare disorder caused by compression of the left renal vein, usually between the aorta and the superior mesenteric artery. It typically presents with left-sided abdominal pain and hematuria. Left renal vein transposition is the most commonly employed surgical technique to alleviate the compression. Case presentation A 22-year-old Caucasian man with a known diagnosis of nutcracker syndrome had undergone left renal vein transposition 1 year before presentation without any subsequent pain relief. In addition, his surgery was complicated by massive blood loss and a 1-week-long stay in an intensive care unit (ICU); as such, he was not amenable to further surgical intervention or stenting to treat his underlying pathology. His symptoms included constant sharp left-sided flank, perineal, and testicular pain. A series of ganglion impar blocks were performed every 3–4 months over the course of 5 years with substantial pain relief achieved. Conclusions Our case report highlights a treatment option that has not yet been described for patients with pain secondary to nutcracker syndrome refractory to surgical intervention.

Details

Language :
English
ISSN :
17521947
Volume :
14
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Medical Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.1db67664aba54c8ba3d6c8ada65394c6
Document Type :
article
Full Text :
https://doi.org/10.1186/s13256-020-02398-6