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一名中年女性腹痛的罕见病因：胡桃夹综合征

An Unusual Cause of Abdominal Pain in a Middle-Aged Female: The Nutcracker Syndrome.

作者信息

John Megan Mary, Oo Than Zaw, Aftab Syed

机构信息

Acute Care and Emergency Department, Khoo Teck Puat Hospital, Singapore, SGP.

General Medicine Department, Sengkang General Hospital, Singapore, SGP.

出版信息

Cureus. 2022 Oct 26;14(10):e30696. doi: 10.7759/cureus.30696. eCollection 2022 Oct.

DOI:10.7759/cureus.30696
PMID:36457599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9705004/
Abstract

A middle-aged female presented with lower abdominal pain associated with nausea and vomiting and was admitted to the acute hospital. She was thoroughly investigated and treated presumably as having a urinary tract infection. However, she was admitted again shortly after discharge with persistent symptoms. A careful evaluation and review were done, and she was diagnosed with nutcracker syndrome based on the clinical assessment, computed tomography (CT), and ultrasound (US) findings.

摘要

一名中年女性因下腹部疼痛伴恶心、呕吐入院。她接受了全面检查，并被推测诊断为尿路感染进行了治疗。然而，出院后不久她因症状持续再次入院。经过仔细评估和复查，根据临床评估、计算机断层扫描（CT）和超声（US）检查结果，她被诊断为胡桃夹综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4990/9705004/42db985fc4e0/cureus-0014-00000030696-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4990/9705004/f926f31fb55a/cureus-0014-00000030696-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4990/9705004/42db985fc4e0/cureus-0014-00000030696-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4990/9705004/f926f31fb55a/cureus-0014-00000030696-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4990/9705004/42db985fc4e0/cureus-0014-00000030696-i04.jpg

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本文引用的文献

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Posterior nutcracker syndrome: a case report.胡桃夹综合征：一例报告。
J Med Case Rep. 2021 Feb 1;15(1):42. doi: 10.1186/s13256-020-02617-0.
2
Degree of Left Renal Vein Compression Predicts Nutcracker Syndrome.左肾静脉受压程度可预测胡桃夹综合征。
J Clin Med. 2018 May 8;7(5):107. doi: 10.3390/jcm7050107.
3
Nutcracker Syndrome: An Update on Current Diagnostic Criteria and Management Guidelines.胡桃夹综合征：当前诊断标准与管理指南的最新进展
Eur J Vasc Endovasc Surg. 2017 Jun;53(6):886-894. doi: 10.1016/j.ejvs.2017.02.015. Epub 2017 Mar 27.
4
Discriminating renal nutcracker syndrome from asymptomatic nutcracker phenomenon using multidetector computed tomography.使用多层螺旋 CT 鉴别肾血管性高血压胡桃夹综合征与无症状胡桃夹现象。
Abdom Radiol (NY). 2016 Aug;41(8):1580-8. doi: 10.1007/s00261-016-0717-8.
5
The nutcracker syndrome. Morphology and clinical aspects of the important vascular variations: a systematic study of 112 cases.胡桃夹综合征。重要血管变异的形态学及临床特征：112例系统研究
Int Angiol. 2016 Feb;35(1):71-7. Epub 2015 May 14.
6
Diagnostic value of computed tomographic findings of nutcracker syndrome: correlation with renal venography and renocaval pressure gradients.胡桃夹综合征 CT 表现的诊断价值：与肾静脉造影及肾静脉-下腔静脉压力梯度的相关性。
Eur J Radiol. 2011 Dec;80(3):648-54. doi: 10.1016/j.ejrad.2010.08.044. Epub 2010 Sep 24.
7
Nutcracker phenomenon and nutcracker syndrome.胡桃夹现象和胡桃夹综合征。
Mayo Clin Proc. 2010 Jun;85(6):552-9. doi: 10.4065/mcp.2009.0586.
8
ACE inhibition can improve orthostatic proteinuria associated with nutcracker syndrome.血管紧张素转换酶抑制剂可改善胡桃夹综合征相关的直立性蛋白尿。
Pediatr Nephrol. 2006 Nov;21(11):1765-8. doi: 10.1007/s00467-006-0206-3. Epub 2006 Aug 11.
9
The prevalence, physical characteristics and diagnosis of nutcracker syndrome.
Eur J Vasc Endovasc Surg. 2006 Sep;32(3):335-6. doi: 10.1016/j.ejvs.2006.04.030. Epub 2006 Jun 15.
10
Current trends in the diagnosis and management of renal nutcracker syndrome: a review.肾胡桃夹综合征诊断与治疗的当前趋势：综述
Eur J Vasc Endovasc Surg. 2006 Apr;31(4):410-6. doi: 10.1016/j.ejvs.2005.05.045. Epub 2006 Jan 23.