Atkinson Timothy H, Love Matthew, Messer Jamie
University of Louisville, Louisville, Kentucky, USA.
Can J Urol. 2015 Apr;22(2):7745-7.
Nutcracker syndrome is a rare disorder characterized by extrinsic compression of left renal vein by the superior mesenteric artery and aorta. Prevalence of the disease is unknown, but presents most commonly with gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 29-year-old female with continuous gross hematuria and flank pain from a segmental artery pseudoaneursym secondary to nutcracker and pelvic congestion syndrome.
胡桃夹综合征是一种罕见的疾病，其特征为肠系膜上动脉和主动脉对左肾静脉的外在压迫。该疾病的患病率尚不清楚，但最常见的表现是肉眼血尿和侧腹疼痛。诊断需要高度的怀疑指数，治疗包括多种血管外科手术选择，最近更侧重于采用血管内治疗方法。我们报告一例29岁女性病例，该患者因胡桃夹综合征和盆腔淤血综合征继发节段性动脉假性动脉瘤，出现持续性肉眼血尿和侧腹疼痛。
