关键词: Endovascular Nutcracker syndrome Review

Mesh : Adult Humans Male Endovascular Procedures / methods Flank Pain / etiology Hematuria / etiology Renal Nutcracker Syndrome / surgery diagnosis complications diagnostic imaging Renal Veins / diagnostic imaging Stents

来  源:   DOI:10.1308/rcsann.2023.0090   PDF(Pubmed)

Abstract:
The nutcracker phenomenon, also known as left renal vein entrapment, occurs when there is extrinsic compression of the left renal vein, most often between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome refers to the constellation of clinical symptoms that may arise from the nutcracker phenomenon, typically inclusive of haematuria, flank/pelvic pain, orthostatic proteinuria and (in male patients) varicocele. We provide a short review of the nutcracker syndrome including various diagnostic and therapeutic modalities. We utilise our own experience with a patient as a case study and highlight the modern management option of endovascular stenting.
摘要:
胡桃夹子现象,也被称为左肾静脉压迫,发生在左肾静脉外在压迫时,通常在腹主动脉和肠系膜上动脉之间。胡桃夹综合征是指胡桃夹现象可能引起的临床症状的星座,通常包括血尿,侧腹/骨盆疼痛,体位性蛋白尿和(男性患者)精索静脉曲张。我们提供了胡桃夹综合征的简短回顾,包括各种诊断和治疗方式。我们利用自己与患者的经验作为案例研究,并强调血管内支架置入术的现代管理选择。
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