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World J Hypertens. Feb 23, 2016; 6(1): 60-65
Published online Feb 23, 2016. doi: 10.5494/wjh.v6.i1.60
Renal venous hypertension
Makhmud Muslimovich Аliev, Rustam Zafarjanovich Yuldashev, Gulnora Srajitdinovna Аdilova, Аvazjon Аbdunomonovich Dekhqonboev
Makhmud Muslimovich Аliev, Rustam Zafarjanovich Yuldashev, Gulnora Srajitdinovna Аdilova, Аvazjon Аbdunomonovich Dekhqonboev, Department of Pediatric Surgery, Republican Specialized Scientific Practical Medical Centre of Pediatrics, Tashkent 100179, Uzbekistan
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: The authors declare no conflicts of interest regarding this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rustam Zafarjanovich Yuldashev, MD, Department of Pediatric Surgery, Republican Specialized Scientific Practical Medical Centre of Pediatrics, District Olmazar, str. Chimbay № 2, Tashkent 100179, Uzbekistan. paediatric.surgery@yahoo.com
Telephone: +998-90-9575082 Fax: +998-371-2293873
Received: August 3, 2015
Peer-review started: August 3, 2015
First decision: September 29, 2015
Revised: October 30, 2015
Accepted: December 29, 2015
Article in press: December 31, 2015
Published online: February 23, 2016
Abstract

Renal venous hypertension usually seen in young, otherwise healthy individuals and can lead to significant overall morbidity. Aside from clinical findings and physical examination, diagnosis can be made with ultrasound, computed tomography, or magnetic resonance conventional venography. Symptoms and haemodynamic significance of the compression determine the ideal treatment method. This review of the literature discusses normal and pathological developmental aspects of renocaval venous segment and related circulatory disorders, summarizes congenital and acquired changes in left renal vein and their impact on development of renal venous hypertension. Also will be discussed surgical tactics of portosystemic shunting and their potential effects on renal hemodynamics.

Keywords: Renal venous hypertension, Nutcracker syndrome, Kidney, Portal hypertension, Splenorenal shunts

Core tip: Renal venous hypertension characterized by the presence of left renal vein dilatation, varicocele and hematuria. Being a rare cause of hematuria its etiology is diverse but of precise characteristics. Diagnosis is not easy and treatment requires ruling out its precise etiology and considering the intensity of the compression phenomenon because of interventionist attitudes have important implications and are not risk free.