Evidence map›Paper›PMID 40818411›Full record

ArticleInternational journal of surgery case reports2025

Surgical treatment of nutcracker syndrome in Sub-Saharan Africa: Mid-term outcomes from a six-case series in Benin.

Abdel Kémal Bori Bata, Mahugnon Emmanuel Martino Gbessi, Ahmad Ibrahim, Caleb Gbegnide, Désiré Nékoua, Wilfried Gandji

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Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Abdel Kémal Bori BataUniversity Visceral Surgery Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin; University Cardiology Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.
Mahugnon Emmanuel Martino GbessiUniversity Visceral Surgery Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.
Ahmad IbrahimUniversity Cardiology Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin. Electronic address: ahmedzaek14@yahoo.fr.
Caleb GbegnideUniversity Pediatric Surgery Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.
Désiré NékouaMultipurpose University Clinic of Anesthesia and Resuscitation (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.
Wilfried GandjiUniversity Visceral Surgery Clinic (CNHU-HKM), Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNutcracker syndrome is a rare vascular condition whose management has long been controversial. Data remain scarce in Sub-Saharan Africa. The objective of this study is to report the clinical presentations and mid-term outcomes of patients who underwent surgical treatment for Nutcracker syndrome in Benin.

methodsThis was a single-center retrospective study conducted from November 2022 to January 2025. It included all patients who underwent surgical management of Nutcracker syndrome at our hospital during this period.

resultsSix cases of Nutcracker syndrome were identified, all in male patients. The median age was 15.5 years [IQR: 13.5-16]. Left flank pain and varicocele were present in all patients. Abdominal Doppler ultrasound and abdominal CT angiography were performed in all cases. The mean aorto-mesenteric angle was 11.8° ± 2.7. The surgical procedure performed was transposition of the left renal vein into the inferior vena cava. Postoperative outcomes were satisfactory, with complete resolution of symptoms and no major complications or deaths during a median follow-up of 9 months [IQR: 8-13].

conclusionsSurgery for rare vascular anomalies is feasible in Sub-Saharan Africa with excellent results. This supports advocacy for improved technical infrastructure.

Indexed as

Case seriesLeft renal vein transpositionNutcracker syndromeSub-Saharan AfricaSurgical treatment

Identifiers

PMID40818411
PMCPMC12391559

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