精巣静脈症候群:尿路圧縮による二次性水縮 - 症例報告
Ahmad Al-Bitar1, Ali Ghosen2, Hussam Sandouk2
1Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic. dr.ahmad.al.bitar@gmail.com.
Journal of medical case reports
|February 17, 2026
まとめ
排尿管阻害の希少な原因である丸静脈症候群は,診断が困難である可能性があります. "Valsalva Flank Pain Sign"は,この状態を特定するのに役立ちますが,CTスキャンが好ましい診断ツールです.
科学分野:
- 泌尿器科 泌尿器科とは
- 血管外科 血管外科
- 放射線学 放射線学
背景:
- 精巣静脈症候群は,尿路阻害の認識されていない原因です.
- それは,膨張または歪んだ精巣静脈による外部圧迫の結果である.
- 報告されている症例は20件未満で,非特異的な症状と標準化された基準の欠如のために診断上の課題を提示しています.
研究 の 目的:
- 精巣静脈症候群の症例を報告する.
- 診断上の課題を強調し,新しい臨床的兆候を提案する.
- 診断におけるイメージングの役割を強調する.
主な方法:
- 症例報告 35歳の男性で,2年間の間断的な左側横の痛みの病歴があります.
- 排泄段階のコントラスト強化コンピュータトモグラフィー (CT) を含むイメージング研究.
- スクロータル・ドップラー超音波と,ヴァルサルバ操作との相関.
主要な成果:
- CTでは,左側ヒドロネフロシスと,近接尿路を圧縮する左丸静脈の膨張が明らかになった.
- の超音波検査では,ipsilateral testicular varicesが確認されました. の超音波検査では,ipsilateral testicular varicesが確認されました.
- 患者は,ヴァルサルバ操作の際の横の痛みが増加したと報告し",ヴァルサルバ横の痛みのサイン"と呼ばれた.
結論:
- 精巣静脈症候群の診断には,詳細な画像と臨床的相関が必要です.
- "Valsalva Flank Pain Sign"は,この珍しい状態を疑うのに役立ちます.
- 排泄相CTはイメージングの選択方法であり,静脈動脈との関連は静脈高血圧を示唆する.
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