Ekwenna Obi, Gorin Michael A, Castellan Miguel, Casillas Victor, Ciancio Gaetano
Department of Urology, University of Miami School of Medicine, Miami, Florida, USA.
ScientificWorldJournal. 2011 May 5;11:1031-5. doi: 10.1100/tsw.2011.100.
Nutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the right renal vein by the superior mesenteric artery. Secondary to this anatomic anomaly, the patient experienced a many-year history of flank pain and intermittent gross hematuria. We have termed this unusual anatomic finding and its associated symptoms as the "inverted nutcracker syndrome", and describe its successful management with nephrectomy and autotransplantation.
胡桃夹综合征是指左肾静脉在腹主动脉和肠系膜上动脉之间受到压迫，导致左肾血流流出受阻。我们报告一例51岁男性患者，其下腔静脉位于左侧，导致肠系膜上动脉压迫右肾静脉。继发于这种解剖异常，该患者有多年的胁腹疼痛和间歇性肉眼血尿病史。我们将这种不寻常的解剖发现及其相关症状称为“倒胡桃夹综合征”，并描述了通过肾切除和自体肾移植成功治疗的病例。
