Expandable metallic stent placement for nutcracker phenomenon - 07/09/11
Doi : 10.1016/S0090-4295(98)00355-0
Naoki Segawa a, Haruhito Azuma a, ⁎, Yusaku Iwamoto a, Takeshi Sakamoto a, Toshiaki Suzuki a, Haruhiko Ueda a, Kazuhiro Yamamoto b, Tadafumi Shimizu b, Kimihiko Kichikawa c, Yoji Katsuoka a
a Department of Urology, Osaka Medical College, Takatsuki, Japan
b Department of Radiology, Osaka Medical College, Takatsuki, Japan
c Department of Radiology, Nara Medical University, Kashihara, Japan
*Reprint requests: Haruhito Azuma, M.D., Department of Urology, Osaka Medical College, 2-7 Daigaku-machi, Takatski-city, Osaka, Japan 569-0801
Abstract |
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.
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© 1999
Elsevier Science Inc. Tous droits réservés.
Vol 53 - N° 3
P. 631-633 - mars 1999 Retour au numéro
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