Viriyaroj Vichit, Akranurakkul Prinya, Muyphuag Bunlung, Kitporntheranunt Maethaphan
Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
J Med Assoc Thai. 2012 Dec;95 Suppl 12:S142-5.
Nutcracker syndrome is the term used to describe the patient with clinical symptoms of entrapment of the left renal vein between the aorta and the superior mesenteric artery. Pelvic congestion syndrome, which is a cause of chronic pelvic pain in women, may be due to Nutcracker syndrome. There are many modalities of treatment for Nutcracker syndrome. This is a case report of a 32-year old woman with pelvic congestion syndrome due to Nutcracker syndrome, who subsequently underwent laparoscopic transperitoneal left gonadal vein ligation. She has had complete remission of pain in 4 months after the operation and after 12 months of follow-up. Laparoscopic transperitoneal gonadal vein ligation is an approach that is safe, simple and provides good results for patient with pelvic congestion syndrome secondary to Nutcracker syndrome.
胡桃夹综合征是用于描述因左肾静脉受腹主动脉和肠系膜上动脉压迫而出现临床症状的患者的术语。盆腔淤血综合征是女性慢性盆腔疼痛的一个原因，可能由胡桃夹综合征引起。胡桃夹综合征有多种治疗方式。本文报告一例32岁因胡桃夹综合征导致盆腔淤血综合征的女性患者，该患者随后接受了腹腔镜经腹左性腺静脉结扎术。术后4个月及随访12个月后，她的疼痛完全缓解。腹腔镜经腹性腺静脉结扎术是一种安全、简单的方法，对于继发于胡桃夹综合征的盆腔淤血综合征患者能取得良好效果。
