A Case of: Uncommon Cause of Left Flank Pain

左腰痛之罕見個案：胡桃鉗症候群

陳和庠(Ho-Hsiang Chen) ； 張建榮(Chien-Jung Chang) ； 余宣宏(Suan-Hung Yu)

《童綜合醫學雜誌》 12卷1期 (2018/06) Pp. 38-42

摘要

Nutcracker syndrome (NS) is a vascular compression disorder in which the left renal vein becomes entrapped between the superior mesenteric artery and the aorta, which can result in flank pain and/or hematuria. Imaging studies, such as color Doppler ultrasonography and computed tomography, are frequently used to diagnose NS. Endovascular stenting has recently become the mainstream treatment for NS. However, NS remains underdiagnosed. NS should be considered as a differential diagnosis if patients present with symptoms of left flank pain, hematuria, proteinuria, and chronic fatigue syndrome.

關鍵字

Nutcracker syndrome ； Flank pain ； Hematuria ； Endovascular stent

並列摘要

胡桃鉗症候群是指左腎靜脈經過上腸系膜動脈和主動脈之間時遭受壓迫而引起腰部疼痛或血尿。常用的的影像學包括彩色都卜勒超音波，電腦斷層掃描作為診斷胡桃夾症候群。近期文獻顯示血管內支架對於胡桃鉗症候群有顯著的治療成效。但由於因影像學並非常規檢查，因此如果病人有左腰痛，血尿，蛋白尿和慢性疲勞症狀的症狀，我們必須留意胡桃鉗症候群，以鑑別造成血尿的其他原因。

並列關鍵字

胡桃鉗症候群 ； 腰痛 ； 血尿 ； 血管內支架