Amarillo H A, Bruzoni M, Loto M, Castagneto G H, Mihura M E
Department of General Surgery, Buenos Aires British Hospital, 74 Perdriel street, C1280AEB, Buenos Aires, Argentina.
Surg Endosc. 2004 Oct;18(10):1539. doi: 10.1007/s00464-003-4547-8. Epub 2004 Aug 24.
The incidence of adrenal hemorrhagic pseudocyst is very low. A total of 613 adrenal cysts and 85 hemorrhagic pseudocysts have been reported. A laparoscopically diagnosed and resolved case is presented here, together with the current diagnostic and therapeutic procedures.
A 40-year-old woman was admitted because of an asymptomatic nonfunctional right adrenal tumor. Right laparoscopic adrenalectomy was performed, 8-cm cyst which found an with thick walls and organized hematic content. The postoperative course was uneventful. Follow-up was 14 months. The pathology was an adrenal hemorrhagic pseudocyst.
A total of 56% of adrenal cysts are pseudocysts. One third of them have hematic content. They may present as an asymptomatic finding with nonspecific symptoms or as a hormone secreting or complicated tumor. Their vascular etiology is not yet totally accepted. There is a tendency for intracystic bleeding. it is advisable to evaluate the hormonal profile and morphologic characteristics in all cases. Treatment options include needle aspiration, percutaneous drainage, and cyst or gland resection. Laparoscopic excision should be evaluated.
肾上腺出血性假囊肿的发病率非常低。总共已报道613例肾上腺囊肿和85例出血性假囊肿。本文介绍了1例经腹腔镜诊断并解决的病例以及当前的诊断和治疗方法。
一名40岁女性因无症状的无功能右肾上腺肿瘤入院。实施了右侧腹腔镜肾上腺切除术，发现一个8厘米的囊肿，囊壁增厚且有血凝块。术后病程平稳。随访14个月。病理结果为肾上腺出血性假囊肿。
56%的肾上腺囊肿为假囊肿。其中三分之一有血凝块。它们可能表现为无症状性发现，伴有非特异性症状，或表现为激素分泌性或复杂性肿瘤。其血管病因尚未被完全接受。有囊内出血的倾向。建议对所有病例评估激素水平和形态学特征。治疗选择包括穿刺抽吸、经皮引流以及囊肿或腺体切除。应评估腹腔镜切除。
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