The "nutcracker" phenomenon: an unusual cause for renal varicosities with hematuria.

作者: Richard G. Wendel , E. David Crawford , Kenneth N. Hehman

DOI: 10.1016/S0022-5347(17)56121-2

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摘要: Abstract The “nutcracker” phenomenon refers to renal vein compression by the aorta and superior mesenteric artery where courses in fork formed at bifurcation of these arteries. Renal varicosities with hematuria developed our patient response obstruction this site. Surgical exploration revealed left be compressed stretched over abdominal aorta. This deformity was corrected medial fixation kidney excision extensive involving periureteral ovarian veins. has experienced no further hematuria.

参考文章(15)
William D. Black, Aminocaproic Acid in Prolonged Hematuria of Patients With Sicklemia Archives of Internal Medicine. ,vol. 136, pp. 678- 681 ,(1976) , 10.1001/ARCHINTE.1976.03630060030007
A. R. STEVENS, HEMATURIAS OF OBSCURE ORIGIN JAMA. ,vol. 79, pp. 1302- 1305 ,(1922) , 10.1001/JAMA.1922.02640160022007
HAROLD A. MITTY, HOWARD GOLDMAN, Angiography in unilateral renal bleeding with a negative urogram. American Journal of Roentgenology. ,vol. 121, pp. 508- 517 ,(1974) , 10.2214/AJR.121.3.508
Morton H. Maxwell, Ernest S. Breed, Irving L. Schwartz, RENAL VENOUS PRESSURE IN CHRONIC CONGESTIVE HEART FAILURE. Journal of Clinical Investigation. ,vol. 29, pp. 342- 348 ,(1950) , 10.1172/JCI102263
H.-U. BRAEDEL, E. SCHINDLER, M. SHELDON POLSKY, Selective Renal Phlebography in the Diagnosis of Renal Pelvic and Ureteric Varices BJUI. ,vol. 49, pp. 365- 370 ,(1977) , 10.1111/J.1464-410X.1977.TB04156.X
Jesse G. Keshin, Arnold Joffe, Varices of the Upper Urinary Tract and Their Relationship to Portal Hypertension Journal of Urology. ,vol. 76, pp. 350- 356 ,(1956) , 10.1016/S0022-5347(17)66704-1
B J Anson, L E Kurth, Common variations in the renal blood supply. Surgery gynecology & obstetrics. ,vol. 100, pp. 157- 162 ,(1955)
Jay Y. Gillenwater, Harry M. Burros, Sophon Nackphairajj, VARICOSITIES OF THE RENAL PELVIS AND URETER. The Journal of Urology. ,vol. 90, pp. 37- 39 ,(1963) , 10.1016/S0022-5347(17)64355-6
John R. Woodard, Vascular Imprints on the Upper Ureter Journal of Urology. ,vol. 87, pp. 666- 668 ,(1962) , 10.1016/S0022-5347(17)65024-9