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Introduction
The transplant surgery team of the university of north carolina at chapel hill will be discussing two challenging transplant cases. The first case is a middle aged female who has really no significant pasmonical history, besides a questionable kidney stone and no interabdominal operations ever. She originally presented to a tertiary care center to explore what was going on, and was eventually diagnosed with nutcracker sindrum of the left kidney. And so she ended up coming to our institution to again be evaluated for possible kinny donation.