Campsen Jeffrey, Thorman Alyssa, Baker Nicholas, Hamilton Blake
Department of Surgery, Division of Transplantation and Advanced Hepatobiliary Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
University of Utah School of Medicine, Salt Lake City, UT, USA.
Urol Case Rep. 2021 Jul 27;39:101791. doi: 10.1016/j.eucr.2021.101791. eCollection 2021 Nov.
Anterior Nutcracker Syndrome (NCS) can occur when the aorta and superior mesenteric artery compress the left renal vein. Loin pain hematuria syndrome (LPHS) occurs as kidney pain resulting from a past insult to the kidney, most commonly from nephrolithiasis. We herein present a case of previously treated NCS. Three months after treatment with GVT, the pelvic congestion was resolved but left flank pain continued concerning for undiagnosed Loin Pain Hematuria. Additionally, we present a treatment algorithm that provides a differential pathway for diagnosis and treatment of combined NCS and LPHS.
当主动脉和肠系膜上动脉压迫左肾静脉时，可发生前胡桃夹综合征（NCS）。腰背痛血尿综合征（LPHS）是由既往肾脏损伤引起的肾痛，最常见的原因是肾结石。我们在此报告一例既往接受过治疗的NCS病例。接受GVT治疗三个月后，盆腔充血得到缓解，但左侧腰痛持续存在，令人担忧的是未确诊的腰背痛血尿。此外，我们还提出了一种治疗算法，为NCS和LPHS合并症的诊断和治疗提供了一条鉴别途径。
