Anterior Nutcracker Syndrome: First Surgically Managed Case Reported in Benin.

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.