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首页> 外文期刊>Pediatrics international : >Macroscopic hematuria caused by congenital portosystemic shunt and concomitant nutcracker syndrome
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Macroscopic hematuria caused by congenital portosystemic shunt and concomitant nutcracker syndrome

机译：先天性门体系统分流和伴发胡桃夹综合征引起的肉眼血尿

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摘要

Nutcracker syndrome (NCS) is an uncommon vascular abnormality that causes a variety of symptoms that range from asymptomatic microscopic hematuria to severe pelvic congestion. Congenital portosystemic shunt (CPSS) is an extremely rare anomaly that causes serious complications. Many cases of NCS and CPSS that have presented separately have been reported, but no cases of concomitant NCS and CPSS have been reported. We present a case of intermittent macroscopic hematuria in a patient with both NCS and CPSS. We diagnosed NCS on pressure gradient between the left renal vein (LRV) and the inferior vena cava. The presence of CPSS, which emerged from the LRV and connected to the extrahepatic portal vein, was confirmed on computed tomography. The interaction between NCS and CPSS resulted in mild intermittent macroscopic hematuria only, rather than the more common symptoms that occur when NCS or CPSS present separately.
机译：胡桃夹子综合症（NCS）是一种罕见的血管异常，会导致多种症状，从无症状的显微镜血尿到严重的骨盆充血。先天性门体系统分流术（CPSS）是一种极为罕见的异常，会引起严重的并发症。报告了许多单独出现的NCS和CPSS病例，但是没有报告同时发生的NCS和CPSS病例。我们介绍了NCS和CPSS患者间歇性宏观血尿的情况。我们通过左肾静脉（LRV）和下腔静脉之间的压力梯度诊断为NCS。从计算机断层扫描证实了从LRV出现并连接到肝外门静脉的CPSS的存在。 NCS和CPSS之间的相互作用仅导致轻度间歇性宏观血尿，而不是NCS或CPSS单独存在时出现的更常见症状。

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