Nakajo Masatoyo, Onohara Shinichi, Shinmura Kouhei, Fujiyoshi Fumito, Nakajo Masayuki
Department of Radiology, Saiseikai Sendai Hospital, Japan.
Radiat Med. 2003 Sep-Oct;21(5):214-9.
Adrenal myelolipoma is a benign tumor composed of fat and bone marrow tissues and is usually found incidentally. Spontaneous retroperitoneal hemorrhage from this tumor is rare. To our knowledge, there have been only 11 reported cases of ruptured adrenal myelolipoma in the literature. We report a 37-year-old female patient who underwent transcatheter arterial embolization using gelatin sponge particles for retroperitoneal hemorrhage from adrenal myelolipoma, 8x6x6 cm in size. This case, which is the second in the literature, illustrates the usefulness of embolization to achieve hemostasis prior to subsequent tumor resection.
肾上腺髓质脂肪瘤是一种由脂肪和骨髓组织构成的良性肿瘤，通常为偶然发现。该肿瘤自发性腹膜后出血较为罕见。据我们所知，文献中仅报道过11例肾上腺髓质脂肪瘤破裂病例。我们报告一例37岁女性患者，其肾上腺髓质脂肪瘤大小为8×6×6厘米，因该肿瘤导致腹膜后出血，接受了使用明胶海绵颗粒的经导管动脉栓塞术。此病例是文献中的第二例，说明了栓塞术在后续肿瘤切除术前实现止血的有效性。
