Al-Anbagi Usamah, Saad Abdulrahman, Nashwan Abdulqadir J
Medicine Department Hazm Mebaireek General Hospital Hamad Medical Corporation (HMC), Doha, Qatar.
Public Health Department Ministry of Public Health, Doha, Qatar.
Case Rep Vasc Med. 2024 Jul 25;2024:8702202. doi: 10.1155/2024/8702202. eCollection 2024.
Nutcracker syndrome (NCS), a rare but impactful vascular condition, emerges from the compression of the left renal vein by adjacent major arteries, leading to a diverse array of symptoms such as hematuria, flank pain, and renal challenges. Highlighting the case of a 30-year-old male with an atypical presentation of NCS, this report explores the diagnostic complexities arising from its varied presentations and therapeutic options. It emphasizes the critical role of computed tomography (CT) in unveiling the underlying vascular constriction. Through this lens, the case underscores the necessity of considering NCS in the differential diagnosis of abdominal pain, advocating for a prompt and accurate diagnosis to guide effective management strategies, ranging from conservative approaches to surgical intervention. This stresses the importance of heightened awareness and ongoing research for optimizing patient outcomes in the face of this elusive condition.
胡桃夹综合征（NCS）是一种罕见但影响较大的血管疾病，由相邻主要动脉对左肾静脉的压迫引起，导致血尿、侧腹疼痛和肾脏问题等一系列不同症状。本报告以一名30岁男性非典型胡桃夹综合征病例为重点，探讨了因其表现多样而产生的诊断复杂性及治疗选择。报告强调了计算机断层扫描（CT）在揭示潜在血管狭窄方面的关键作用。通过这个案例强调了在腹痛鉴别诊断中考虑胡桃夹综合征的必要性，提倡及时、准确的诊断以指导有效的管理策略，从保守方法到手术干预。这凸显了提高认识和持续研究对于在面对这种难以捉摸的疾病时优化患者治疗效果的重要性。
