Arribas Del Amo D, Val-carreres Guinda A, Escartín Arias A, Elía Guedea M, Aguilella Diago V, Martínez Díez M
Servicio de Cirugía General B, Hospital Clínico Universitario de Zaragoza, Zaragoza, España.
Arch Esp Urol. 2001 Mar;54(2):173-6.
To describe two cases of adrenal pseudocyst that presented as acute abdomen and shock.
Two cases of adrenal pseudocyst are presented: one patient was a 69-year-old woman who presented with shock and pain in the left hypochondrium and the other was a 23-year-old woman who complained of dizziness and pain in the left hypochondrium.
US and CT evaluation showed a heterogeneous cystic mass. Blood analysis showed low hematocrit and hemoglobin levels. Surgical resection of the retroperitoneal cystic mass was performed. The pathological analysis disclosed an adrenal pseudocyst.
Adrenal pseudocyst is an uncommon lesion that infrequently causes symptoms and rarely presents as acute abdomen. Ultrasound and CT are the most useful diagnostic imaging methods. Treatment is by surgery if the lesion is large and symptomatic, if it cannot be clearly distinguished from a tumor, and if massive hemorrhage occurs.
描述两例表现为急腹症和休克的肾上腺假性囊肿病例。
介绍两例肾上腺假性囊肿病例：一例为69岁女性，表现为休克和左季肋部疼痛；另一例为23岁女性，主诉头晕和左季肋部疼痛。
超声和CT检查显示为不均匀的囊性肿块。血液分析显示血细胞比容和血红蛋白水平较低。对腹膜后囊性肿块进行了手术切除。病理分析显示为肾上腺假性囊肿。
肾上腺假性囊肿是一种罕见的病变，很少引起症状，极少表现为急腹症。超声和CT是最有用的诊断成像方法。如果病变较大且有症状、无法与肿瘤明确区分或发生大量出血，则需手术治疗。
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