RENO-CAVO BIOLOGICAL BYPASS WITH TUBULIZED BOVINE PATCH FOR NUTCRACKER SYNDROME

Nutcracker syndrome (NCS) is the set of symptoms resulting from compression of the left renal vein. A 19-year-old female patient with abdominal pain is approached. In the physical examination, we found pain in the left flank and left iliac fossa with abdominal palpation. Computed tomography and renal Doppler were performed and showed direct NCS signs. A reno-cavo bypass was performed with a tubulized bovine pericardium patch. NCS is a rare and underdiagnosed entity, and more follow-up data are needed to evaluate reno-cavo bypass in reducing symptoms and long-term complications.