Lilienfeld R M, Lande A
J Urol. 1976 Feb;115(2):123-5. doi: 10.1016/s0022-5347(17)59094-1.
Posterior extension of a pancreatic pseudocyst should be considered in the differential diagnosis of a thick-walled renal or perinephric cyst seen on infusion pyelography with tomography. Opacification of the wall of a pancreatic pseudocyst by this technique has not been reported previously and lack of knowledge of this possibility can lead to mistaken diagnosis and the possibility of an unnecessary exploratory operation, particularly when angiography is inconclusive and a gastrointestinal series is negative or equivocal. The mechanism of opacification of the wall of a pancreatic pseudocyst is discussed. Parasitization of the renal capsular arteries by a pancreatic pseudocyst can further compound the difficulty of diagnosis.
在对静脉肾盂造影断层扫描所见的厚壁肾囊肿或肾周囊肿进行鉴别诊断时,应考虑胰腺假性囊肿的后伸情况。此前尚未有通过该技术使胰腺假性囊肿壁显影的报道,若不了解这种可能性,可能会导致误诊以及不必要的探查手术,尤其是在血管造影结果不明确且胃肠道造影为阴性或不明确时。本文讨论了胰腺假性囊肿壁显影的机制。胰腺假性囊肿对肾包膜动脉的寄生会进一步增加诊断难度。