丸静脉综合征:尿路压缩后的二次水缩-一个病例报告
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
概括
丸静脉综合征是尿管阻塞的罕见原因,诊断可能具有挑战性. "Valsalva侧侧疼痛标志"可能有助于识别这种情况,CT扫描是首选的诊断工具.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 丸静脉综合征是尿管阻塞的一个未被认可的原因.
- 它是由一个扩张或扭曲的丸静脉的外部压缩造成的.
- 报告的病例不到20例,由于非特异性症状和缺乏标准化标准,存在诊断挑战.
研究的目的:
- 报告一个丸静脉综合征病例.
- 突出诊断挑战,并提出一个新的临床标志.
- 强调成像在诊断中的作用.
主要方法:
- 一个35岁男性的病例报告,有两年的间歇性左侧疼痛史.
- 图像学研究包括分泌阶段的对比增强计算机断层扫描 (CT).
- 骨多普勒超声波和与瓦萨尔瓦机动的相关性.
主要成果:
- 扫描显示左侧水缩和扩张的左丸静脉压缩近接尿管.
- 阴茎超声波证实了两侧丸静脉.
- 患者在瓦尔萨尔瓦操纵过程中报告了增加的侧侧疼痛,称为"瓦尔萨尔瓦侧侧疼痛信号".
结论:
- 丸静脉综合征的诊断需要详细的成像和临床相关性.
- "瓦尔萨尔瓦侧侧疼痛标志"可能有助于怀疑这种罕见的疾病.
- 排泄相CT是选择的成像方式;与静脉变的关联表明静脉高血压.
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