Inguinal microscopic varicocelectomy with spermatic vein - inferior epigastric vein anastomosis in a child with nutcracker syndrome: A case report

Abstract

Bilge Turedi, Isik Senkaya Signak, Mehmet Ugur Yilmaz, Fatih Celik, Mehmet Mazhar Utangac, Mehmet Emin Balkan, Nizamettin Kilic

Patients with nutcracker syndrome (NCS) associated left varicocele are at high risk of varicocele recurrence when treated only with routine surgical approach for varicocele. An eleven year-old boy who had mild symptoms for NCS and left grade 3 varicocele referred to our clinic. To cure varicocele and to decrease left renal vein pressure, an end to end anastomosis was performed between left spermatic vein and inferior epigastric vein after inguinal microscopic varicocelectomy. His six months follow-up was uneventful. In this case report, we present that this method in children with NCS is a safe and effective method.