Lozuk Branko, Tanaskovic Slobodan, Radak Djordje, Babic Srdjan, Kovacevic Vladimir, Matic Predrag
Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Ann Vasc Surg. 2014 Jan;28(1):263.e17-20. doi: 10.1016/j.avsg.2012.11.019. Epub 2013 Nov 5.
We present a rare case of anterior nutcracker syndrome caused by an abdominal aorta aneurysm (AAA). A 61-year-old woman was admitted to our institution for computed tomography angiography. It revealed an AAA 51 mm in diameter that was lifting off of the left renal vein toward the superior mesenteric artery, causing anterior nutcracker syndrome with consequent left renal vein compression and left ovarian vein congestion. Aneurysm resection was performed, followed by left ovarian vein ligation and left adnexectomy to prevent vein conglomerate rupture. This is the first case that describes anterior nutcracker syndrome caused by AAA, which was successfully treated by aneurysm resection.
我们报告一例由腹主动脉瘤（AAA）引起的罕见的前胡桃夹综合征病例。一名61岁女性因计算机断层血管造影术入住我院。检查发现一个直径51毫米的腹主动脉瘤，它正从左肾静脉向上肠系膜动脉方向抬起，导致前胡桃夹综合征，进而引起左肾静脉受压和左卵巢静脉淤血。进行了动脉瘤切除术，随后结扎左卵巢静脉并切除左附件，以防止静脉团破裂。这是首例描述由腹主动脉瘤引起的前胡桃夹综合征并通过动脉瘤切除术成功治疗的病例。
