A 14-year-old girl with recumbent proteinuria

被引:12
作者
Faizan, MK
Finn, LS
Paladin, AM
McDonald, RA
机构
[1] Univ Washington, Childrens Hosp & Reg Med Ctr, Div Nephrol, Seattle, WA 98105 USA
[2] Univ Washington, Childrens Hosp & Reg Med Ctr, Dept Pathol, Seattle, WA 98105 USA
[3] Univ Washington, Childrens Hosp & Reg Med Ctr, Dept Radiol, Seattle, WA 98105 USA
关键词
proteinuria; left renal vein; nutcracker syndrome; splenic cyst;
D O I
10.1007/s00467-002-0822-5
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We describe a 14-year-old female who presented with persistently elevated nighttime urinary protein excretion without additional clinical symptoms. She had no evidence of intrinsic renal disease on physical examination or laboratory studies. Ultrasound examination of the abdomen revealed a large cyst arising from the spleen. CT scan showed compression of the left renal vein by the splenic cyst. Removal of the cyst resulted in resolution of her proteinuria. Entrapment of the left renal vein (nutcracker syndrome) remains a rare but important cause of elevated protein excretion.
引用
收藏
页码:379 / 381
页数:3
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