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首页> 外文期刊>Polish Journal of Radiology >Pulsatile Mass Sensation with Intense Abdominal Pain; Atypical Presentation of the Nutcracker Syndrome
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Pulsatile Mass Sensation with Intense Abdominal Pain; Atypical Presentation of the Nutcracker Syndrome

机译：剧烈腹部疼痛的搏动性大众感觉;胡桃夹综合征的非典型表现

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BACKGROUND Patients with Nutcracker syndrome generally present with nonspecific abdominal pain, with the left renal vein (LRV) lodged between the aorta and the superior mesenteric artery. In rare cases this can result in atypical gastrointestinal symptoms, making the diagnosis of Nutcracker syndrome challenging. CASE REPORT A 28-year-old female patient presented with complaints of severe abdominal pain and palpable pulsatile abdominal mass located in the left epigastric area. Computed tomography angiography revealed that the LRV was lodged in the aortomesenteric region with a dilated left ovarian vein and pelvic varicose veins. The upper gastrointestinal endoscopy and colonoscopy were normal. The patient was diagnosed as Nutcracker syndrome and discharged to be treated with analgesics. CONCLUSIONS Nutcracker syndrome can be seen with atypical gastrointestinal and vascular symptoms. Computed tomography angiography is a reliable and robust technique to prove the diagnosis of nutcracker syndrome.
机译：背景技术胡桃夹子综合征患者通常表现为非特异性腹痛，左肾静脉（LRV）位于主动脉和肠系膜上动脉之间。在极少数情况下，这可能会导致非典型的胃肠道症状，从而使《胡桃夹子》综合征的诊断具有挑战性。病例报告一名28岁的女性患者主诉左侧腹部上腹部严重腹部疼痛和明显搏动性腹部肿块。计算机体层摄影血管造影显示，LRV存留在主肠系膜区，左侧卵巢静脉和骨盆静脉曲张扩张。上消化道内镜和结肠镜检查均正常。该患者被诊断为胡桃夹子综合征并出院接受镇痛药治疗。结论胡桃夹综合征可表现为非典型胃肠道和血管症状。计算机断层扫描血管造影是一种可靠而强大的技术，可证明对胡桃夹子综合征的诊断。

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