Back to Search
Start Over
Serial ganglion impar blocks in a patient with nutcracker syndrome refractory to left renal vein transposition: a case report
- 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.
- Subjects :
- Nutcracker syndrome
Left renal vein transposition
Ganglion impar block
Medicine
Subjects
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