Elhattabi Khalid, Elbakouri Abdelilah, Ouchane Mohamed, Bouali Mounir, Bensardi Fatimazahra, Fadil Abdelaziz
Visceral Surgical Emergency Department, Faculty of Medicine and Pharmacy, Universitary Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
Visceral Surgical Emergency Department, Faculty of Medicine and Pharmacy, Universitary Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.
Int J Surg Case Rep. 2020;77:730-732. doi: 10.1016/j.ijscr.2020.11.088. Epub 2020 Nov 20.
Nutcracker syndrome is a rare entity that corresponds to an abdominal pain following compression of the left renal vein during its passage between the aorta and the superior mesenteric artery, with a peak prevalence in adults between 20 and 30 years old, The typical clinical presentation includes hematuria, orthostatic proteinuria with or without flank pain. doppler ultrasound has a sensitivity of 78% and specificity of 100%, Both CT and MRI can show the compression of the left renal vein between the aorta and the superior mesenteric artery. We report the case of a young patient admitted to the emergency room for abdominal pain mainly localized in the left hypochondrium, with microscopic hematuria, a CT scan was performed showing a reduced aorto mesenteric angle with a compression of the left renal vein and collateralization of venous circulation of left gonadal vein.
胡桃夹综合征是一种罕见病症，表现为左肾静脉在腹主动脉和肠系膜上动脉之间穿行时受压后出现腹痛，好发于20至30岁的成年人。典型的临床表现包括血尿、体位性蛋白尿，可伴有或不伴有胁腹痛。多普勒超声的敏感性为78%，特异性为100%。CT和MRI均可显示腹主动脉和肠系膜上动脉之间左肾静脉受压情况。我们报告一例年轻患者，因主要位于左季肋部的腹痛入住急诊室，伴有镜下血尿，行CT扫描显示腹主动脉肠系膜夹角减小，左肾静脉受压，左侧性腺静脉出现静脉循环侧支化。
