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題 名 | Endovascular Stenting for Nutcracker Syndrome |
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作 者 | Feng, Kuo-kang; Huang, Chun-yang; Hsiao, Chen-yuan; Lee, Tsung-hsing; Kuo, Tzu-ting; Shih, Chun-che; Hsu, Chiao-po; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 76:6 2013.06[民102.06] |
頁 次 | 頁350-353 |
分類號 | 415.38 |
關鍵詞 | Abdominal aorta; Endovascular stenting; Left renal vein; Nutcracker syndrome; Superior mesenteric artery; |
語 文 | 英文(English) |
英文摘要 | Nutcracker syndrome (NCS) is a rare pathology manifested by pain or hematuria in males and females alike. It can be easily overlooked, and should be considered in young men or women with symptoms of extended duration. We present a case of a 54-year-old female with chronic lower abdominal pain radiating to the left thigh of 4 years in duration. Computed tomography (CT) eventually revealed engorged left renal, gonadal, and uterine veins due to compression between the superior mesenteric artery (SMA) and the abdominal aorta, consistent with NCS. After a successful endovascular stenting and a 6-month period of antiplatelet and anticoagulant therapy, the patient returned to stable health. NCS, while rare, should be suspected in patients of both sexes with persistent pain or hematuria. |
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