Sablón González Nery, Lorenzo Villalba Noel, Parodis López Yanet, González Díaz Paula, Boada Díaz Jorge, Kechida Melek
Servicio de Nefrología, Hospital Universitario de Gran Canaria Dr. Negrín, España.
Service de Médecine Interne et Cancérologie, Centre Hospitalier Saint Cyr, France. E-mail:
Medicina (B Aires). 2019;79(2):150-153.
Nutcracker syndrome is a vascular anomaly consisting in the compression of the left renal vein between the superior mesenteric artery and the aorta. Clinical features in nutcracker syndrome include pelvic pain, flank pain, haematuria, gonadal varices or simply asymptomatic. We are presenting two cases, one of them with macroscopic haematuria and flank pain and the other was studied for hypertension but with previous antecedents of left renal vein embolization in the setting of varicocele. We discuss the clinical presentation as well as diagnostic and therapeutic aspects related to this syndrome.
胡桃夹综合征是一种血管异常，表现为肠系膜上动脉与腹主动脉之间对左肾静脉的压迫。胡桃夹综合征的临床特征包括盆腔疼痛、侧腹疼痛、血尿、性腺静脉曲张或仅为无症状。我们报告两例病例，其中一例有肉眼血尿和侧腹疼痛，另一例因高血压接受检查，但既往有精索静脉曲张伴左肾静脉栓塞史。我们讨论了该综合征的临床表现以及与之相关的诊断和治疗方面。
