Salehipour Mehdi, Kazemi Kourosh, Shamsaeefar Ali, Hekmati Pooya, Sanaei Ahmad Khalid, Bahador Ali, Aliakbarian Mohsen, Malek Hosseini Seyed Ali
From the Shiraz Organ Transplant Center, Nemazee Hospital, Shiraz University of Medical Sciences, Nemazee Hospital Zand Ave., Shiraz, Fars 7193711351, Islamic Republic of Iran.
Exp Clin Transplant. 2016 Feb;14(1):93-5. doi: 10.6002/ect.2013.0260. Epub 2014 Jun 9.
Nutcracker phenomenon is the condition that occurs most commonly at the morphologic type by compression of the left renal vein between the aorta and superior mesenteric artery. The diagnosis is often delayed because of the variability in manifestations and absence of consensus on diagnostic criteria. We report a 30-year-old woman who presented gross hematuria several days after a kidney transplant. Nutcracker syndrome was established intraoperatively during open surgical approach for bladder clot evacuation. Renal repositioning was done with relief in the degree of hematuria intraoperatively. No episode of gross hematuria was observed on follow-up after 8 months.
胡桃夹现象是最常见的一种情况，其形态学类型为左肾静脉在腹主动脉和肠系膜上动脉之间受压。由于临床表现的多样性以及诊断标准缺乏共识，诊断往往会延迟。我们报告一名30岁女性，在肾移植几天后出现肉眼血尿。在开放手术清除膀胱血凝块的过程中，术中确诊为胡桃夹综合征。术中通过肾脏重新定位减轻了血尿程度。随访8个月未观察到肉眼血尿发作。
