Abdel Kémal Bori Bata, Joseph Akodjenou, Ahmad Ibrahim, Boris Gogan, Désiré Nékoua
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Anterior Nutcracker Syndrome: First Surgically Managed Case Reported in Benin.
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.
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