三例因左肾静脉内血流增加导致的胡桃夹综合征罕见病例。
Three Unusual Cases of Nutcracker Syndrome Caused by Increased Blood Flow within the Left Renal Vein.
作者信息
Gaudiano Caterina, Pucci Simone, Busato Fiorenza, Di Carlo Maddalena, Schiavina Riccardo, Vagnoni Valerio, Pultrone Cristian Vincenzo, Corcioni Beniamino, Golfieri Rita
机构信息
Department of Radiology, University of Bologna, Sant'Orsola-Malpighi Hospital, Bologna, Italy.
出版信息
Urol Int. 2016;96(4):484-7. doi: 10.1159/000437000. Epub 2015 Sep 8.
Nutcracker syndrome (NCS) refers to the compression of the left renal vein (LRV) between the aorta and the superior mesenteric artery. It can cause both microscopic and gross haematuria, with or without flank pain. The diagnosis is often delayed in a majority of symptomatic patients. On the other hand, the use of CT in routine abdominal explorations has increased the detection of the compression of the LRV in healthy and asymptomatic patients, but its diagnostic value remains uncertain. In this paper, we report 3 cases of the NCS associated with an increased blood flow in the LRV, due to different conditions, which we believe could produce the appearance of clinical symptoms.
胡桃夹综合征（NCS）是指左肾静脉（LRV）在腹主动脉和肠系膜上动脉之间受到压迫。它可导致镜下血尿和肉眼血尿，伴或不伴有侧腹疼痛。大多数有症状的患者诊断往往会延迟。另一方面，CT在常规腹部检查中的应用增加了健康无症状患者中LRV受压的检出率，但其诊断价值仍不确定。在本文中，我们报告了3例因不同情况导致LRV血流增加的NCS病例，我们认为这些情况可能会导致临床症状的出现。
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