Ahmed N Ghanem1*, Khalid A Ghanem2, Nisha Pindoria3 and Salma A Ghanem4
1Consultant Urologist Surgeon, Egypt
2Mansoura University Hospital, Egypt
3North Middlesex University Hospital, London
4Barts & the Royal London NHS Trust, London
Objective: To report a case demonstrating the link of LPHS with SN is that is based on IVU7 sign and retrograde pyelography. Renal Sympathetic denervation and Nephropexy (RSD & N) Surgery has proved curable for the condition.Patient and
Methods: The reported case in which IVU with erect film shows the IVU7 sign is measure of renal pedicle stretch. Retrograde Pyelography (RGP) showed the internal renal damage while all ancillary imaging were normal. The surgery of RSD & N was used for treatment of the condition.Results: An IVU with erect film and RGP detected the diagnosis and the renal pathology while no other imaging could. Comparing IVU supine and erect revealed the IVU7 sign which is a measure of renal pedicle stretch causing artery stenosis and ischaemia. The findings on RGP show erosion of renal papillae and leakage of contrast medium into renal veins which is the sie of hamaturia. The surgery of RSD & N cured the condition.Conclusion: An IVU with erect film and RGP clinched the diagnosis and revealed the renal pathology while no other imaging could. It should be essential diagnostic investigation in every LPHS case. The surgery of RSD & N cured the condition.
Ghanem AN, Ghanem KA, Pindoria N, Ghanem SA. Loin Pain and Haematuria Syndrome (LPHS) Complicating Symptomatic Nephroptosis (SN), Cured with Renal Sympathetic Denervation and Nephropexy (RSD & N) Surgery. Ann Clin Case Rep. 2018; 3: 1552.