Rationale: Renal nutcracker syndrome is a rare phenomenon that often causes various disability symptoms. The treatment protocol has been explored for a long time, but no consensus has been reached.
Patient concerns: Here, we report the case of a 19-year-old male suffering with nutcracker syndrome, including left-sided flank pain and intermittent gross hematuria.
Diagnoses: The patient was diagnosed with renal nutcracker syndrome, and the pressure gradient between the left renal vein and inferior vena cava was >5 mm Hg.
Interventions: The patient underwentrobotic-assisted combined transposition of left renal vein and gonadal vein.
Outcomes: Flank pain and gross hematuria ceased spontaneously after surgery without occurrence.
Lessons: Robotic-assisted combined transposition of the left renal vein and gonadal vein is a safe and promising option for this condition.
Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.