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Surgical treatment of posterior nutcracker syndrome presented with hyperaldosteronism.

ABSTRACT: Posterior nutcracker syndrome is caused by the compression of left renal vein between the abdominal aorta and the vertebral body. Most seen symptoms are haematuria, left flank pain, abdominal pain and varicocele. The nutcracker syndrome may lead to left renal vein thrombosis due to blood congestion within compression of the vessel. Both endovascular and open surgical interventions can relieve symptoms; however, traditional surgical repair is still considered as the gold standard. Here, we present the surgical treatment of a 36-year old female with complaints of hypertension, hyperaldosteronism and diagnosed with posterior nutcracker syndrome.

SUBMITTER: Deser SB

PROVIDER: S-EPMC4892158 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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Surgical treatment of posterior nutcracker syndrome presented with hyperaldosteronism.

Deser Serkan Burc SB Onem Kadir K Demirag Mustafa Kemal MK Buyukalpelli Recep R

Interactive cardiovascular and thoracic surgery 20160217 5

Posterior nutcracker syndrome is caused by the compression of left renal vein between the abdominal aorta and the vertebral body. Most seen symptoms are haematuria, left flank pain, abdominal pain and varicocele. The nutcracker syndrome may lead to left renal vein thrombosis due to blood congestion within compression of the vessel. Both endovascular and open surgical interventions can relieve symptoms; however, traditional surgical repair is still considered as the gold standard. Here, we presen ...[more]

PMID: 26892192

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Project description:Background and Objective The posterior mediastinum is a potential space along the paravertebral sulci or between the posterior aspect of the pericardium and the vertebrae. This compartment is classically the most frequent location site of neurogenic tumors. Whereas neurofibroma and schwannoma are neurogenic tumors that commonly arise from peripheral nerves, sympathetic nerves are the origin of ganglioneuroma, neuroblastoma, ganglioneuroblastoma, and neuroectodermal cells closely associated with autonomic nerves are the origin of paragangliomas and pheochromocytomas. Additionally, tumors from the esophagus, tumors of mesenchymal origin, lymphoma, ectopic goiter, and diseases with lymph node hyperplasia may also settle on this compartment. The objectives are to identify term “giant posterior mediastinal tumor” and the etiology, clinical features, diagnostic methods, pathological types, surgical methods applied, and technical details of these methods for the treatment of these tumors. Methods In this review, the term “giant tumor” was used to define tumors larger than 10 cm settled in the posterior mediastinum. PubMed database was searched with keywords “posterior mediastinum, giant mass” or “posterior mediastinum, tumor, giant” limited to English language and full-text available studies published between years 1984–2021. Key Content and Findings As a result of the literature review with the relevant terms, 23 case reports were found in accordance with the inclusion criteria. We detected the most common giant posterior mediastinum tumors were neurogenic origin (schwannoma, ganglioneuroma, ganglioneuroblastoma, triton tumor) in that review. The most common surgical approach was posterolateral thoracotomy. Treatment response to surgical total excision was good in most of cases. Conclusions The definitive diagnosis and treatment of giant posterior mediastinal tumors is made by surgical excision. Diagnostic procedures and subsequent surgical planning may vary depending on the origin and localization. Adjuvant treatment and follow-up should be conducted on the histopathological features.

Dataset Information

Surgical treatment of posterior nutcracker syndrome presented with hyperaldosteronism.

Publications

Surgical treatment of posterior nutcracker syndrome presented with hyperaldosteronism.

Similar Datasets

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