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CC BY 4.0 · Thorac Cardiovasc Surg Rep 2025; 14(01): e33-e35
DOI: 10.1055/a-2699-8210
Case Report: Vascular

Anterior Nutcracker Syndrome: First Surgically Managed Case Reported in Benin

Authors

  • Abdel Kémal Bori Bata

    1   University Visceral Surgery Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
    2   University Cardiology Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Joseph Akodjenou

    3   Anesthesia and Intensive Care Unit, CHU-MEL, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Ahmad Ibrahim 

    4   University Cardiology Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Boris Gogan

    5   University Pediatric Surgery Clinic, CNHU-HKM, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Désiré Nékoua

    6   Multipurpose University Clinic of Anesthesia and Resuscitation (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
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Abstract

Background

Nutcracker syndrome is a rare condition caused by compression of the left renal vein, often underdiagnosed in adolescents.

Case Description

We report a 16-year-old male with painful left testicular swelling and grade 3 varicocele. Imaging confirmed anterior nutcracker syndrome. He underwent successful left renal vein transposition with complete symptom resolution and normal imaging at 24 months.

Conclusion

Nutcracker syndrome should be considered in young patients with varicocele and testicular pain. Renal vein transposition is a safe and effective treatment when conservative approaches fail, with long-term clinical and radiological benefits.

Keywords

nutcracker syndrome - varicocele - left renal vein transposition - sub-Saharan Africa

Patients' Consent

Written informed consent was obtained from the patient's legal guardians for the publication of this case report and accompanying images.




Publikationsverlauf

Eingereicht: 10. Mai 2025

Angenommen: 09. September 2025

Accepted Manuscript online:
12. September 2025

Artikel online veröffentlicht:
24. September 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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