Loin pain haematuria (LPHS) is a rare and difficult-to-diagnose syndrome. Different therapeutic approaches have been used historically with little or no success. We report a case of LPHS in which bilateral renal autotransplantation led to pain relief, cessation of all medication and no recurrence beyond two years of follow-up.

Keywords:
LPHS, Autotransplantation, Treatment, Renal
1.
Little PJ, Sloper JS, de Wardener HE: A syndrome of loin pain and haematuria associated with disease of peripheral renal arteries. Q J Med 1967;36:253-259.
2.
Spetie DN, Nadasdy T, Nadasdy G, et al: Proposed pathogenesis of idiopathic loin pain-hematuria syndrome. Am J Kidney Dis 2006;47:419-427.
3.
Talic RF, Parr N, Hargreave TB: Anephric state after graft nephrectomy in a patient treated with renal autotransplantation for bilateral metachronous loin pain/hematuria syndrome. J Urol 1994;152:1194-1195.
4.
Uzoh CC, Kumar V, Timoney AG: The use of capsaicin in loin pain-haematuria syndrome. BJU Int 2009;103:236-239.
5.
Bass CM, Parrott H, Jack T, Baranowski A, Neild GH: Severe unexplained loin pain (loin pain haematuria syndrome): management and long-term outcome. QJM 2007;100:369-381.
6.
Ahmed M, Acher P, Deane AM: Ureteric bupivicaine infusion for loin pain haematuria syndrome. Ann R Coll Surg Engl 2010;92:139-141.
7.
Greenwell TJ, Peters JL, Neild GH, Shah PJ: The outcome of renal denervation for managing loin pain haematuria syndrome. BJU Int 2004;93:818-821.
8.
Dube GK, Hamilton SE, Ratner LE, Nasr SH, Radhakrishnan J: Loin pain hematuria syndrome. Kidney Int 2006;70:2152-2155.
9.
Spitz A, Huffman JL, Mendez R: Autotransplantation as an effective therapy for the loin pain-hematuria syndrome: case reports and a review of the literature. J Urol 1997;157:1554-1559.
10.
Rana YP, Gupta SK, Singh DV, et al: Renal autotransplantation as savior in hybrid surgery for aortic aneurysm repair. Urol Int 2012;89:480-482.
11.
Li P, Shao P, Qin C, et al: Retroperitoneal laparoscopic extravascular stent placement for renal nutcracker syndrome: initial experience. Urol Int 2014;92:396-399.
12.
Chin JL, Kloth D, Pautler SE, Mulligan M: Renal autotransplantation for the loin pain-hematuria syndrome: long-term followup of 26 cases. J Urol 1998;160:1232-1235; discussion 1235-1236.
© 2015 S. Karger AG, Basel
2015
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