Huang S P, Chen C C, Li C C, Wu W J, Chou Y H, Huang C H
Department of Urology, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan.
Kaohsiung J Med Sci. 2001 Mar;17(3):156-60.
Adrenal cysts are rare and mostly silent clinically. Herein we report a case of adrenal cyst. A 55-year-old female was incidentally found to have a left suprarenal cystic lesion with a calcified wall by abdominal sonography during a work-up for her epigastralgia and left flank pain. Then, computed tomography (CT) revealed a left adrenal cystic mass with wall calcification, magnetic resonance imaging (MRI) showed left retroperitoneal cystic mass with fluid content, and angiography demonstrated an avascular lesion. Surgical exploration was performed via a flank incision and a calcified cystic adrenal mass was excised. The pathologic diagnosis was adrenal pseudocyst with calcified wall. We discuss the diagnosis and management of adrenal cyst and briefly review the literature.
肾上腺囊肿罕见，临床上大多无症状。在此我们报告一例肾上腺囊肿病例。一名55岁女性在因上腹部疼痛和左侧胁腹疼痛进行检查时，经腹部超声偶然发现左肾上腺有一个壁钙化的囊性病变。随后，计算机断层扫描（CT）显示左肾上腺囊性肿块伴壁钙化，磁共振成像（MRI）显示左腹膜后囊性肿块含液体成分，血管造影显示为无血管病变。通过侧腹切口进行手术探查，切除了一个钙化的囊性肾上腺肿块。病理诊断为肾上腺假性囊肿伴壁钙化。我们讨论了肾上腺囊肿的诊断和处理，并简要回顾了文献。
