van der Laan L, Vos J A, de Boer E, van den Berg J C, Moll F L
Afd. Heelkunde, Sint Antonius Ziekenhuis, Nieuwegein.
Ned Tijdschr Geneeskd. 2004 Feb 28;148(9):433-7.
Two patients, women aged 30 and 29, had severe chronic pain in the left leg, and a woman aged 36 had pain in the left flank. On the grounds of the clinical symptoms, phlebography and venous-duplex ultrasonography, a central-venous compression syndrome was diagnosed: compression of the left common iliac vein between the crossing right common iliac artery and the body of the fifth lumbar vertebra (May-Thurner syndrome). The patient with left flank pain also had haematuria. Angiography, computed tomography and phlebography revealed that these symptoms were due to compression of the left renal vein between the abdominal aorta and the superior mesenteric artery (nutcracker phenomenon). The treatment of all 3 patients consisted of venous endovascular stenting. At follow-up after 12, 30 and 15 months, respectively, the complaints had subsided considerably.
两名患者，分别为30岁和29岁的女性，左腿患有严重的慢性疼痛，一名36岁的女性左侧胁腹疼痛。根据临床症状、静脉造影和静脉双功超声检查，诊断为中心静脉受压综合征：右侧髂总动脉与第五腰椎椎体交叉处对左侧髂总静脉的压迫（梅-图二氏综合征）。左侧胁腹疼痛的患者还伴有血尿。血管造影、计算机断层扫描和静脉造影显示，这些症状是由于腹主动脉和肠系膜上动脉之间对左肾静脉的压迫（胡桃夹现象）所致。所有3例患者均接受了静脉血管内支架置入治疗。分别在12个月、30个月和15个月的随访中，症状已明显缓解。
