Farina Renato, Foti Pietro Valerio, Nicolosi Lorena, Basile Antonio
Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Catania, Italy.
J Ultrason. 2023 May 11;23(93):e101-e105. doi: 10.15557/jou.2023.0018. eCollection 2023 Jun.
In this article, we describe a rare case of the nutcracker syndrome caused by combined compression of the left anteroaortic and retroaortic renal veins. A 42-year-old woman presented with microhematuria and left flank pain. The patient underwent computed tomography and Doppler ultrasound which showed the left renal veins with anteroaortic and retroaortic courses, with signs of compression. Compression of the anteroaortic renal vein was caused by a narrowing of the aortomesenteric space, whereas compression of the retroaortic renal vein was caused by a narrowing of the aortovertebral space.
NCS is a rare disease, poorly understood and difficult to diagnose mainly due to the non-specificity of symptoms. Imaging is essential for diagnosis, and the combination of ultrasound and computed tomography allows for better classification of the disease. Increased disclosure of these cases can significantly contribute to a reduction of false negatives.
在本文中，我们描述了一例罕见的胡桃夹综合征，由左肾静脉前主动脉段和主动脉后段联合受压引起。一名42岁女性出现镜下血尿和左侧腰痛。患者接受了计算机断层扫描和多普勒超声检查，结果显示左肾静脉走行于主动脉前方和后方，并有受压迹象。主动脉前肾静脉受压是由于主动脉肠系膜间隙变窄所致，而主动脉后肾静脉受压是由于主动脉椎体间隙变窄所致。
胡桃夹综合征是一种罕见疾病，由于症状不具特异性，人们对其了解甚少且难以诊断。影像学检查对诊断至关重要，超声和计算机断层扫描相结合有助于对该疾病进行更好的分类。增加对这些病例的认识可显著减少假阴性结果。
