Müller Arteaga C A, Martín Blanco S, Calleja Escudero J, Torrecilla Garcia-Ripoll J R, Rivero Martínez D, Fernández del Busto E
Servicio de Urología, Hospital Clínico Universitario de Valladolid, Valladolid.
Actas Urol Esp. 2005 Jun;29(6):599-602. doi: 10.1016/s0210-4806(05)73304-0.
Adrenal Pseudocyst are uncommon and asymptomatic tumors. We report an unusual case who had previous high blood pressure and acute hemorrhage presented with abdominal pain and shock. Diagnosis was made with ultrasonography and computed tomography revealed the presence of large retroperitoneal hematoma around the superior pole of the left kidney. Urgent surgery was made with a complete excision of a 10 cm. tumor with preservation of adrenal tissue and the left kidney. Histopathological diagnosis was: Adrenal Pseudocyst. Blood pressure normalized after surgery.
肾上腺假性囊肿是罕见的无症状肿瘤。我们报告一例不寻常的病例，该患者既往有高血压，此次因急性出血出现腹痛和休克。通过超声检查做出诊断，计算机断层扫描显示左肾上极周围存在巨大的腹膜后血肿。紧急进行手术，完整切除了一个10厘米的肿瘤，同时保留了肾上腺组织和左肾。组织病理学诊断为：肾上腺假性囊肿。术后血压恢复正常。
