创伤相关性左肾静脉血栓形成伴胡桃夹综合征
Trauma-associated left renal vein thrombosis with nutcracker syndrome.
作者信息
Aichi Shogo, Kimura Shinichi, Fujisawa Tokuo, Hayashi Teppei, Kobayashi Yusuke, Muroya Naoki, Kurihara Tomohiro
机构信息
Department of Emergency Medicine National Hospital Organization Tokyo Medical Center Tokyo Japan.
Department of Orthopedics National Hospital Organization Tokyo Medical Center Tokyo Japan.
出版信息
Acute Med Surg. 2023 Apr 18;10(1):e838. doi: 10.1002/ams2.838. eCollection 2023 Jan-Dec.
BACKGROUND
Nutcracker syndrome is a compression of the left renal vein between the superior mesenteric artery and aorta, resulting in thrombogenesis. While renal vein thrombosis caused by renal disease is more common, solitary left renal vein thrombosis with nutcracker syndrome is rare.
CASE PRESENTATION
We present the case of a patient with trauma-associated left renal vein thrombosis with nutcracker syndrome. A 24-year-old woman with low body mass index taking oral contraceptives was admitted for trauma. She had multiple injuries, including thoracolumbar fractures, for which elective spinal fusion surgery was scheduled. As the D-dimer level elevated to 82.5 μg/dL preoperatively, enhanced computed tomography was performed, which revealed a solitary left renal vein thrombus.
CONCLUSION
This is the report of solitary left renal vein thrombosis in a patient with nutcracker syndrome after trauma. Patients with low body mass index and coagulopathy might have solitary left renal vein thrombosis associated with nutcracker syndrome.
背景
胡桃夹综合征是指左肾静脉受肠系膜上动脉和腹主动脉压迫，导致血栓形成。虽然由肾脏疾病引起的肾静脉血栓形成更为常见，但孤立性左肾静脉血栓形成合并胡桃夹综合征却很罕见。
病例报告
我们报告一例创伤相关的左肾静脉血栓形成合并胡桃夹综合征的患者。一名24岁、体重指数较低且正在服用口服避孕药的女性因外伤入院。她有多处损伤，包括胸腰椎骨折，计划进行择期脊柱融合手术。由于术前D-二聚体水平升高至82.5μg/dL，遂行增强计算机断层扫描，结果显示孤立性左肾静脉血栓。
结论
本文报告了一例创伤后胡桃夹综合征患者出现孤立性左肾静脉血栓形成的病例。体重指数较低且有凝血功能障碍的患者可能会出现与胡桃夹综合征相关的孤立性左肾静脉血栓形成。
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