Department of Nephrology, Military Hospital of Tunisia, Monfleury, Tunis, Tunisia.
Saudi J Kidney Dis Transpl. 2020 Sep-Oct;31(5):1129-1133. doi: 10.4103/1319-2442.301182.
The nutcracker syndrome (NCS) is a rare condition characterized by the entrapment of the left renal vein between the superior mesenteric artery and the aorta. Clinically, it presents with hematuria, flank pain, and symptoms of pelvic venous congestion. It is more frequent in females. Conservative treatment is usually proposed children but in adults, NCS has to be treated by surgical or endovascular methods. Drug therapy is not proposed for the treatment of NCS. We report a case of a young patient who presented with recurrent gross hematuria. Our patient was treated with pentoxifylline three times daily and anti-coagulation, with a favorable outcome.
胡桃夹综合征（NCS）是一种罕见的疾病，其特征是左肾静脉被肠系膜上动脉和主动脉夹在中间。临床上，它表现为血尿、腰痛和盆腔静脉充血症状。它在女性中更为常见。保守治疗通常被建议用于儿童，但在成人中，NCS 必须通过手术或血管内方法进行治疗。药物治疗不被建议用于治疗 NCS。我们报告了一例年轻患者，他反复出现肉眼血尿。我们的患者接受了每天三次的己酮可可碱和抗凝治疗，结果良好。
