The roles of the liver and pancreas in renal nutcracker syndrome.

作者: Seong Jong Yun , Deok Ho Nam , Jung Kyu Ryu , Ji Su Kim

DOI: 10.1016/J.EJRAD.2014.07.011

关键词:

摘要: Abstract Introduction To assess the frequency and significance of presence liver pancreas at left renal vein (LRV) level in patients with suspected nutcracker syndrome (NCS). Materials methods We included 101 hematuria who underwent urography three-dimensional CT between April 2009 November 2013. These were divided into NCS ( n  = 25) non-NCS  = 76) according to following criteria: (1) beak sign (2) hilar-aortomesenteric diameter ratio >4. Patients grouped LRV: group LP (both pancreas), L (only liver), P O (neither nor pancreas). The difference frequencies groups was analyzed patients. Multivariate analysis used determine independent factors Results LP, L, P, vs. 88% 5.3% p  = 0.75), 4.0% 11.8%  = 0.45), 80.3%  = 0.022), an factor for (odds ratio, 43.8; 95% confidence interval, 3.8–500.3; Conclusion LRV frequently found NCS.

参考文章(30)
M. Hohenfellner, F. Steinbach, D. Schultz-Lampel, W. Schantzen, K. Walter, B.M. Cramer, J.W. Thüroff, R. Hohenfellner, The nutcracker syndrome: new aspects of pathophysiology, diagnosis and treatment. The Journal of Urology. ,vol. 146, pp. 685- 688 ,(1991) , 10.1016/S0022-5347(17)37893-X
Constantin Cope, Harold J. Isard, Left Renal Vein Entrapment Radiology. ,vol. 92, pp. 867- 872 ,(1969) , 10.1148/92.4.867
Seong Jin Park, Joo Won Lim, Byung-Soo Cho, Tai Young Yoon, Joo Hyeong Oh, Nutcracker syndrome in children with orthostatic proteinuria: diagnosis on the basis of Doppler sonography. Journal of Ultrasound in Medicine. ,vol. 21, pp. 39- 45 ,(2002) , 10.7863/JUM.2002.21.1.39
J. M. Zerin, R. J. Hernandez, A. B. Sedman, R. C. Kelsch, "Dilatation" of the left renal vein on computed tomography in children: a normal variant Pediatric Radiology. ,vol. 21, pp. 267- 269 ,(1991) , 10.1007/BF02018620
AJ Buschi, RB Harrison, A Norman, AG Brenbridge, BR Williamson, RR Gentry, R Cole, Distended left renal vein: CT/sonographic normal variant American Journal of Roentgenology. ,vol. 135, pp. 339- 342 ,(1980) , 10.2214/AJR.135.2.339
O.J. Arthurs, U. Mehta, P.A.K. Set, Nutcracker and SMA syndromes: What is the normal SMA angle in children? European Journal of Radiology. ,vol. 81, ,(2012) , 10.1016/J.EJRAD.2012.04.010
N. O. CALLOWAY, C. F. FOLEY, PHILIP LAGERBLOOM, UNCERTAINTIES IN GERIATRIC DATA. II. ORGAN SIZE. Journal of the American Geriatrics Society. ,vol. 13, pp. 20- 28 ,(1965) , 10.1111/J.1532-5415.1965.TB00569.X
Shanwen Chen, Hongkun Zhang, Lu Tian, Ming Li, Min Zhou, Zhonggao Wang, A stranger in the heart: LRV stent migration. International Urology and Nephrology. ,vol. 41, pp. 427- 430 ,(2009) , 10.1007/S11255-008-9478-9
Jae Il Shin, Jae Seung Lee, Nutcracker phenomenon or nutcracker syndrome Nephrology Dialysis Transplantation. ,vol. 20, pp. 2015- 2015 ,(2005) , 10.1093/NDT/GFI078
Kyung Won Kim, Jeong Yeon Cho, Seung Hyup Kim, Jeong-Hee Yoon, Dae Sik Kim, Jin Wook Chung, Jae Hyung Park, Diagnostic value of computed tomographic findings of nutcracker syndrome: Correlation with renal venography and renocaval pressure gradients European Journal of Radiology. ,vol. 80, pp. 648- 654 ,(2011) , 10.1016/J.EJRAD.2010.08.044