{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:40:08Z","timestamp":1756316408958,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,8]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>The nutcracker phenomenon results from a rare anatomic abnormality where the left renal vein (LRV) is compressed by the aorta and superior mesenteric artery. Nutcracker syndrome (NCS) is defined by the constellation of symptoms that may develop, which includes haematuria, pelvic pain and venous congestion. We present a case of an otherwise healthy woman in her early 40s with NCS with a failed initial attempt at LRV to inferior vena cava bypass grafting, with subsequent successful treatment via robot-assisted left renal autotransplantation.<\/jats:p>","DOI":"10.1136\/bcr-2023-258260","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T08:05:50Z","timestamp":1741853150000},"page":"e258260","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Robot-assisted renal autotransplant for nutcracker syndrome following unsuccessful renocaval bypass"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-3446","authenticated-orcid":false,"given":"Daniel Burke","family":"Armstrong","sequence":"first","affiliation":[{"name":"School of Medicine, USUHS, Bethesda, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Michael","sequence":"additional","affiliation":[{"name":"Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Mateo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Hawksworth","sequence":"additional","affiliation":[{"name":"Department of Surgery, Abdominal Organ Transplantation Division, Columbia University Irving Medical Center, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"2025082710194239000_18.3.e258260.1","doi-asserted-by":"publisher","DOI":"10.21037\/cdt-20-160"},{"key":"2025082710194239000_18.3.e258260.2","first-page":"220","article-title":"Diagnosis and treatment of the Nutcracker syndrome: a review of the last 10 years","volume":"17","author":"de Macedo","year":"2018","journal-title":"J Vasc Bras"},{"key":"2025082710194239000_18.3.e258260.3","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.euf.2018.07.019","article-title":"Robot-assisted Kidney Autotransplantation: A Minimally Invasive Way to Salvage Kidneys","volume":"4","author":"Decaestecker","year":"2018","journal-title":"Eur Urol Focus"},{"key":"2025082710194239000_18.3.e258260.4","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjab580","article-title":"Robotic-assisted renal autotransplant as a novel treatment option for nutcracker syndrome","volume":"2021","author":"Harkrader","year":"2021","journal-title":"J Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258260","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:19:50Z","timestamp":1756315190000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258260"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":4,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,13]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2023-258260"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258260","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}