交通事故后发现的肾上腺假性囊肿，形似嗜铬细胞瘤。

Adrenal pseudocyst mimicking a pheochromocytoma found after a traffic accident.

作者信息

Suga Hidetaka, Inagaki Akemi, Ota Kimiko, Taguchi Seiko, Kato Tomoko, Kakiya Satoshi, Itatsu Takeharu, Yokoi Keisuke, Tsuzuki Toyonori

机构信息

Division of Endocrinology, Department of Internal Medicine, Nagoya Daini Red Cross Hospital, 2-9 Myoken-cho, Showa-ku, Nagoya 466-8650.

出版信息

Intern Med. 2003 Jan;42(1):66-71. doi: 10.2169/internalmedicine.42.66.

DOI:10.2169/internalmedicine.42.66

PMID:12583622

Abstract

We report a case of adrenal pseudocyst difficult to differentiate from pheochromocytoma. A right adrenal mass was found in a 41-year-old man after a traffic accident. Plasma level of renin was low, plasma level of aldosterone, and urine levels of aldosterone and catecholamines were high. Dynamic tests for primary aldosteronism and pheochromocytoma were negative. No abnormal uptake was shown in 131I-adosterol or 131I-MIBG scintigram. Adrenal venous sampling presented high levels of catecholamines. Laparoscopic adrenalectomy was performed. Histological examination revealed a pseudocyst with a thick fibrocollagenous wall. We discuss the mechanism of high catecholamine levels in the right adrenal vein.

摘要

我们报告一例难以与嗜铬细胞瘤鉴别的肾上腺假性囊肿病例。一名41岁男性在交通事故后发现右侧肾上腺肿物。血浆肾素水平低，血浆醛固酮水平以及尿醛固酮和儿茶酚胺水平高。原发性醛固酮增多症和嗜铬细胞瘤的动态试验均为阴性。131I-胆固醇或131I-间碘苄胍闪烁扫描未显示异常摄取。肾上腺静脉采血显示儿茶酚胺水平高。进行了腹腔镜肾上腺切除术。组织学检查显示为一个具有厚纤维胶原壁的假性囊肿。我们讨论了右侧肾上腺静脉中儿茶酚胺水平高的机制。