主动脉后左肾静脉1例并文献复习

A Case Report of Retroaortic Left Renal Vein and Review of the Literature

目的：讨论主动脉后左肾静脉患者的临床特征及诊疗情况，加强对此类疾病的认识。方法：患者，男，61岁，腰腹部疼痛不适3个月余，发热5天入院。体检：左侧肾区叩痛阳性。实验室检查：血白细胞22×10^9／L，尿液常规正常。CT：腹主动脉后左肾静脉受压狭窄，左肾肿大，肾周少量积液。结果：患者人院后给予保守抗炎对症支持治疗5天后，腰部疼痛症状明显缓解，血尿化验检查正常，顺利出院。结论：腹主动脉后左肾静脉是临床上一种少见的左肾静脉畸形，由左肾静脉受腹主动脉与脊柱压迫变窄所致，多数患者在体检时发现，无临床症状，保守治疗效果良好，少数患者伴明显症状需行手术治疗。

Objective：Discuss the clinical features and treatment methods of the retroaortic left renal venous, improve understanding this diseases. Methods： A 61- year--old male manifested abdominal and waist pain for 3 months with got fever 5 for days. Physical examination showed knock pain of the left renal area. Lab examination revealed a 22× 10^9/L of the blood serum leukocytes and normal urine. Computed tomography showed retroaortic left renal vein be compressed and narrowed with left kidney enlarged, perinephric effusion. Results：After conserva rive therapy of anti--inflammatory for 5 days, the symptoms of waist pain remitted, blood and urine examination turned to normal level. The patients discharged from hospital. Coneluslons： Retroaortic left renal vein is a rarely congenital anomalies of the renal vein. The renal vein located between the abdominal aortic artery and the spine. Many cases were found due to the physical examination with no clinical symptoms. Conservative therapy re sults good effects to most patients. But to some cases operation is needed.