Nutcracker Syndrome Diagnosed with 3-Dimensional Computed Tomography Angiography
최상훈, 김진섭, 신태섭, 이용성, 김형주, 최낙규,
소속 상세정보
최상훈 ( Choi Sang-Hoon )
한림대학교 의과대학 비뇨기과학교실
김진섭 ( Kim Jin-Sup )
한림대학교 의과대학 비뇨기과학교실
신태섭 ( Shin Tae-Seoup )
한림대학교 의과대학 비뇨기과학교실
이용성 ( Lee Yong-Seong )
한림대학교 의과대학 비뇨기과학교실
김형주 ( Kim Hyung-Joo )
한림대학교 의과대학 비뇨기과학교실
최낙규 ( Choi Nak-Gyeu )
한림대학교 의과대학 비뇨기과학교실
KMID : 0358320090500070711
Abstract
We report a case of nutcracker syndrome diagnosed with 3-dimensional computed tomography angiography (3-D CTA). Nutcracker syndrome had been confirmed by conventional venography until recent years. Nowadays, with the development of imaging techniques, color Doppler sonogram and 3-D CTA are replacing venography for the diagnosis of nutcracker syndrome. The patient, a 20-year-old male, had abrupt gross hematuria and left abdominal pain 6 months previously and intermittent microscopic hematuria thereafter. Including renal biopsy, the results of conventional hematuria study showed no abnormalities. 3-D CTA showed left renal vein compression between the abdominal aorta and superior mesenteric artery and collateral veins. The angle and distance between the superior mesenteric artery and aorta at the level of the left renal vein were 35o and 3.0 mm, respectively. We diagnosed nutcracker syndrome and later confirmed the diagnosis with venography
키워드
Computed tomography; Angiography
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