Sillo Toritseju Oluwafunmilayo, Jones Katherine E, Willetts Ian E
Department of Paediatric Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
BMJ Case Rep. 2012 Aug 27;2012:bcr0220125836. doi: 10.1136/bcr.02.2012.5836.
The authors present the case of a 10-year-old boy with a 2-year history of intermittent macroscopic haematuria. After exclusion of other causes of haematuria through history, examination and a number of investigations, MRI revealed the finding of a retro-aortic left renal vein, which appeared to be compressed between the aorta and the L3 vertebral body. The retro-aortic left renal vein or 'posterior nutcracker syndrome" is a rare but important cause of haematuria and other manifestations of left renal vein hypertension. A discussion about the implications of this finding in children with symptoms consistent with left renal vein hypertension, and the potential options for management is undertaken.
作者报告了一名10岁男孩的病例，该男孩有2年间歇性肉眼血尿病史。通过病史、检查及多项检查排除血尿的其他病因后，磁共振成像（MRI）显示左肾静脉位于主动脉后方，似乎受到主动脉和第三腰椎椎体之间的压迫。主动脉后左肾静脉或“胡桃夹后综合征”是血尿及左肾静脉高压其他表现的一种罕见但重要的病因。本文对这一发现对于有符合左肾静脉高压症状儿童的意义以及潜在的处理选择进行了讨论。
