Treatment of Fraley’s syndrome by upper-pole nephrectomy
Keywords:
Nephrectomy, Kidney diseases, Kidney calculi, Hydronephrosis, Low back painAbstract
CONTEXT: Fraley’s syndrome is characterized by vascular compression on the superior infundibulum with secondary dilatation of the upper pole calyx, mostly located on the right side. CASE REPORT: We present the case of a 22-year-old woman with vascular compression of the upper-pole infundibulocalyceal system (Fraley’s syndrome). The patient had a history of frequent hospitalizations for emergency care due to lumbar pain over the past twelve months. The diagnosis was obtained following renal arteriography. Since the surgical treatment by means of upper-pole nephrectomy, the patient has not had any further symptoms.
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References
Fraley EE. Vascular obstruction of superior infundibulum causing nephralgia. A new syndrome. N Engl J Med. 1966;275(25):1403-9.
D’Amico A, Lusuardi L, Ficarra V, et al. Experience in the surgical treatment of Fraley’s syndrome. Eur Urol. 2000;38(4):410-4.
Fazeli-Matin S, Streem SB Nephron sparing manage- ment of Fraley’s syndrome with a pyelopyelostomy. J Urol. 1998;159(2):487-9.
Fernández Arjona M, Tagarro D, Moyano Calvo JL, Rabadán Ruiz M, Herrero Torres L, Pereira Sanz I. Tratamiento percutá- neo del síndrome de Fraley. [Percutaneous treatment of Fraley syndrome]. Arch Esp Urol. 1996;49(1):55-8.
Biocic M, Saraga M, Maskovic J, Vukic-Kosuljandic D, Saraga- Babic M, Budimir D. A nephron-sparing surgical procedure for Fraley’s syndrome. A case report. Eur J Pediatr Surg. 2002;12(5):341-4.
