Value of 128 multi-slice spiral CT angiography in diagnosis of left renal vein entrapment syndrome in children

WANG Beihong; XIA Zhenkun

doi:10.7619/jcmp.202002004

Journal of Clinical Medicine in Practice > 2020 > 24(2): 13-15. > DOI: 10.7619/jcmp.202002004

WANG Beihong, XIA Zhenkun. Value of 128 multi-slice spiral CT angiography in diagnosis of left renal vein entrapment syndrome in children[J]. Journal of Clinical Medicine in Practice, 2020, 24(2): 13-15. DOI: 10.7619/jcmp.202002004

Citation:

PDF (446 KB)

Value of 128 multi-slice spiral CT angiography in diagnosis of left renal vein entrapment syndrome in children

WANG Beihong¹,
XIA Zhenkun^2, ,

1. Department of Pediatrics, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu, 213000;
2. Department of Pediatrics, General Hospital of Eastern War Zon, Nanjing, Jiangsu, 210006

More Information

Received Date: November 15, 2019
Available Online: August 26, 2020
Published Date: August 26, 2020

Graphical Abstract

Abstract

Abstract

Objective To investigate Value of 128 multi-slice spiral CT angiography(MSCTA)in diagnosis of left renal vein entrapment syndrome in children. Methods MSCTA was used to measure the angle between superior mesenteric artery(SMA)and abdominal aorta(AA)in 30 children with left renal vein entrapment syndrome. The inner diameter of left renal vein stenosis between SMA and AA, the dilation diameter near renal hilum, the ratio of the two diameters above, cross-sectional area ratio, the volume difference of two kidneys, body mass index, and the results were compared with those in the control group. Results The average angle between SMA and AA was(16.70±0.31)in 30 patients with left renal vein entrapment syndrome, the internal diameter of LRV passing through the narrow segment of SMA and the dilation inner diameter of the left dilated segment near the renal hilum were(0.29±0.02)cm and(1.15±0.04)cm, respectively. The ratio of above internal diameters was(4.89±0.53), the ratio of cross-sectional area was(3.30±0.11), the volume difference between left and right kidney was(16.10±2.20)cm³, and the body mass index was(15.90±0.44)kg/m², which showed a significant difference compared to the control group(P< 0.01). Conclusion MSCTA imaging is of great clinical value in the diagnosis of left renal vein entrapment syndrome due to its advantages of non-invasive, wide scanning range and multi-plane and multi-angle imaging and can be an accurate, simple and effective method in diagnosis left renal vein syndrome.
- left renal vein entrapment syndrome,
- multi-slice spiral CT angiography,
- superior mesenteric artery,
- abdominal aorta

FullText(HTML)

References (10)

References

Matsubara T, Ogawa O, Yanagita M. Physical finding of nutcracker phenomenon[J]. Kidney Int, 2013, 83(2): 335.

Peterson J, Hage A N, Diljak S, et al. Incidental anatomic finding of celiacomesenteric trunk associated with “nutcracker phenomenon” or compression of the left renal vein[J]. Am J Case Rep, 2017, 18: 1334-1342.

Dunphy L, Penna M, Tam E, et al. Left renal vein entrapment syndrome: nutcracker syndrome[J]. BMJ Case Rep, 2019, 12(9): e230877.

Berthelot J M, Douane F, Maugars Y, et al. Nutcracker syndrome: A rare cause of left flank pain that can also manifest as unexplained pelvic pain[J]. Joint Bone Spine, 2017, 84(5): 557-562.

Heidbreder R. Co-occurring superior mesenteric artery syndrome and nutcracker syndrome requiring Roux-en-Y duodenojejunostomy and left renal vein transposition: a case report and review of the literature[J]. J Med Case Rep, 2018, 12(1): 214.

Hartung O, Barthelemy P, Berdah S V, et al. Laparoscopy-assisted left ovarian vein transposition to treat one case of posterior nutcracker syndrome[J]. Ann Vasc Surg, 2009, 23(3): 413. e13-413. e16.

Hohenfellner M, D'Elia G, Hampel C, et al. Transposition of the left renal vein for treatment of the nutcracker phenomenon: long-term follow-up[J]. Urology, 2002, 59(3): 354-357.

Wang H, Guo Y T, Jiao Y, et al. A minimally invasive alternative for the treatment of nutcracker syndrome using individualized three-dimensional printed extravascular titanium stents[J]. Chin Med J, 2019, 132(12): 1454-1460.

Kim K W, Cho J Y, Kim S H, et al. Diagnostic value of computed tomographic findings of nutcracker syndrome: correlation with renal venography and renocaval pressure gradients[J]. Eur J Radiol, 2011, 80(3): 648-654.

Ananthan K, Onida S, Davies A H. Nutcracker syndrome: an update on current diagnostic criteria and management guidelines[J]. Eur J Vasc Endovasc Surg, 2017, 53(6): 886-894.

Cited By

Cited by

Periodical cited type(23)

1.	冯瑰丽，肖明，赵蕾，刘芳，王莹. 快速康复外科护理策略在老年股骨转子间骨折病人围术期中的应用. 全科护理. 2021(01): 59-62 .
2.	何玲莉，李慧，伍萍，刘湘，冷华伟，邹毅. 微创治疗股骨粗隆间骨折围手术期实施人性化康复护理的体会. 中国社区医师. 2021(08): 129-130 .
3.	徐春艳. 递进式康复护理对股骨脆性骨折老年患者的影响. 包头医学院学报. 2021(05): 93-96 .
4.	高怡，章少华，贾艳. 基于动机行为转化的康复护理在四肢骨折患者术后康复中的应用. 中国医药导报. 2021(29): 174-177 .
5.	李媛媛. 快速康复外科理念在骨科全麻术后患者麻醉复苏期护理工作中的开展价值. 临床医药实践. 2020(04): 304-306 .
6.	方丽敏，程丽萍. 改良快速康复外科理念在甲状腺手术围术期的应用. 中国当代医药. 2020(07): 240-242 .
7.	李瑞，曲鑫，王玲. 跟骨骨折经皮复位固定术后渐进性康复与护理. 实用临床医药杂志. 2020(13): 71-74 . 本站查看
8.	钱嫣然. 预见性护理模式联合FTS理念对老年下肢骨折患者术后下肢DVT发生率及生活质量的影响. 医学理论与实践. 2020(19): 3287-3289 .
9.	李淑贤. FTS联合HSS标准化康复训练在老年股骨颈骨折患者中的应用效果. 中国民康医学. 2019(01): 112-114 .
10.	徐丽娟. 快速康复理念下早期被动训练在踝关节骨折患者中的应用. 当代护士(上旬刊). 2019(05): 64-67 .
11.	林华，汪涛，张海林，张宝良. 活血续骨汤配合快速康复外科理念在老年股骨粗隆间骨折术后患者中的应用效果. 新中医. 2019(05): 182-185 .
12.	龚俊，吴慧杰，李晓欣. 围术期健康教育与心理干预对股骨骨折患者术后负性情绪、疼痛和满意度的影响. 中国健康心理学杂志. 2019(08): 1206-1210 .
13.	杜苗，韩利朵. 快速康复理念下护理干预在踝关节骨折患者术后恢复中的应用. 检验医学与临床. 2019(20): 3063-3066 .
14.	陈丽芳. 全程预见性护理在老年股骨骨折中的应用效果. 实用临床医药杂志. 2019(24): 101-104 . 本站查看
15.	沈秋，马云萍. 快速康复护理模式对骨折术后患者生活自理能力的影响分析. 中国药物与临床. 2019(23): 4211-4213 .
16.	许正年. 加速康复理念在老年股骨粗隆骨折患者护理中的应用效果研究. 世界最新医学信息文摘. 2018(70): 266+269 .
17.	钱珍，杨志英，王蓓. 高龄髋部骨折患者的快速康复护理探讨. 实用临床医药杂志. 2018(04): 96-99 . 本站查看
18.	陈艳. 快速康复外科理念在脊柱骨折并发脊髓损伤围手术期护理中的应用. 中国民间疗法. 2018(08): 93-94 .
19.	何思丽，王巧清. 加速康复理念在老年股骨粗隆骨折患者护理中的应用效果研究. 中外医学研究. 2018(30): 96-97 .
20.	贺玉兰，李忠琼. 快速康复理念在腹腔镜腹股沟疝修补术患者术后恢复中的应用. 中华疝和腹壁外科杂志(电子版). 2018(06): 462-464 .
21.	陈怀春. 体表定位股骨近端防旋髓内针内固定治疗老年股骨粗隆骨折的临床疗效分析. 中国继续医学教育. 2017(29): 71-72 .
22.	王丹敏，孔祥静，李梅，范文，卢丛兰，李健. 老年股骨粗隆骨折PFNA内固定手术患者并发症的预防及护理. 实用临床医药杂志. 2017(20): 82-84 . 本站查看
26.	王丹丹. 循证护理对老年骨质疏松性股骨折患者骨折愈合及生活质量的影响. 家庭医药.就医选药. 2017(12): 41 .

Other cited types(4)

Get Citation

PDF

XML

Article views PDF downloads Cited by(27)

Turn off MathJax

Article Contents

Abstract

References

Value of 128 multi-slice spiral CT angiography in diagnosis of left renal vein entrapment syndrome in children

Abstract

References

Cited by

Periodical cited type(23)

Other cited types(4)

Catalog

Export File

Citation

Format

Content