A 15-year-old boy presents to the clinic due to left side lumbar pain that persisted for two years. He has no history of trauma or sexually related diseases. Physical examination reveals normal bowel sounds without tenderness. Urinalysis showed hematuria. A contrast-enhanced CT scan reveals the left renal vein to be compressed between the aorta and the vertebrae. Which of the following will complicate this condition?

Question

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Eductional Objective: The left gonadal artery drains into the left renal vein. Left renal vein compression will manifest with lumbar and flank pain, hematuria, and varicocele.

A 15-Year-Old Boy Presents to the Clinic Due to Left