Endovascular stenting for nutcracker syndrome

Kuo Kang Feng; Chun Yang Huang; Chen Yuan Hsiao; Tsung Hsing Lee; Tzu Ting Kuo; Chun Che Shih; Chiao Po Hsu

doi:10.1016/j.jcma.2013.02.003

Endovascular stenting for nutcracker syndrome

Kuo Kang Feng, Chun Yang Huang, Chen Yuan Hsiao, Tsung Hsing Lee, Tzu Ting Kuo, Chun Che Shih, Chiao Po Hsu

研究成果: 雜誌貢獻 › 文章

4 引文斯高帕斯（Scopus）

摘要

Nutcracker syndrome (NCS) is a rare pathology manifested by pain or hematuria in males and females alike. It can be easily overlooked, and should be considered in young men or women with symptoms of extended duration. We present a case of a 54-year-old female with chronic lower abdominal pain radiating to the left thigh of 4 years in duration. Computed tomography (CT) eventually revealed engorged left renal, gonadal, and uterine veins due to compression between the superior mesenteric artery (SMA) and the abdominal aorta, consistent with NCS. After a successful endovascular stenting and a 6-month period of antiplatelet and anticoagulant therapy, the patient returned to stable health. NCS, while rare, should be suspected in patients of both sexes with persistent pain or hematuria.

原文	英語
頁（從 - 到）	350-353
頁數	4
期刊	Journal of the Chinese Medical Association
卷	76
發行號	6
DOIs	https://doi.org/10.1016/j.jcma.2013.02.003
出版狀態	已發佈 - 六月 1 2013
對外發佈	Yes

ASJC Scopus subject areas

Medicine(all)

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10.1016/j.jcma.2013.02.003

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引用此

Feng, K. K., Huang, C. Y., Hsiao, C. Y., Lee, T. H., Kuo, T. T., Shih, C. C., & Hsu, C. P. (2013). Endovascular stenting for nutcracker syndrome. Journal of the Chinese Medical Association, 76(6), 350-353. https://doi.org/10.1016/j.jcma.2013.02.003

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abstract = "Nutcracker syndrome (NCS) is a rare pathology manifested by pain or hematuria in males and females alike. It can be easily overlooked, and should be considered in young men or women with symptoms of extended duration. We present a case of a 54-year-old female with chronic lower abdominal pain radiating to the left thigh of 4 years in duration. Computed tomography (CT) eventually revealed engorged left renal, gonadal, and uterine veins due to compression between the superior mesenteric artery (SMA) and the abdominal aorta, consistent with NCS. After a successful endovascular stenting and a 6-month period of antiplatelet and anticoagulant therapy, the patient returned to stable health. NCS, while rare, should be suspected in patients of both sexes with persistent pain or hematuria.",

keywords = "Abdominal aorta, Endovascular stenting, Left renal vein, Nutcracker syndrome, Superior mesenteric artery",

author = "Feng, {Kuo Kang} and Huang, {Chun Yang} and Hsiao, {Chen Yuan} and Lee, {Tsung Hsing} and Kuo, {Tzu Ting} and Shih, {Chun Che} and Hsu, {Chiao Po}",

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AU - Feng, Kuo Kang

AU - Huang, Chun Yang

AU - Hsiao, Chen Yuan

AU - Lee, Tsung Hsing

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AU - Shih, Chun Che

AU - Hsu, Chiao Po

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AB - Nutcracker syndrome (NCS) is a rare pathology manifested by pain or hematuria in males and females alike. It can be easily overlooked, and should be considered in young men or women with symptoms of extended duration. We present a case of a 54-year-old female with chronic lower abdominal pain radiating to the left thigh of 4 years in duration. Computed tomography (CT) eventually revealed engorged left renal, gonadal, and uterine veins due to compression between the superior mesenteric artery (SMA) and the abdominal aorta, consistent with NCS. After a successful endovascular stenting and a 6-month period of antiplatelet and anticoagulant therapy, the patient returned to stable health. NCS, while rare, should be suspected in patients of both sexes with persistent pain or hematuria.

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KW - Left renal vein

KW - Nutcracker syndrome

KW - Superior mesenteric artery

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