诊断影像学临床（109）。诺卡菌性肾上腺脓肿。

Clinics in diagnostic imaging (109). Nocardial adrenal abscess.

作者信息

Chong Y L, Tan J K, Teo N

机构信息

Urology Unit, Department of General Surgery, Tan Tock Seng Hospital, Singapore.

出版信息

Singapore Med J. 2006 May;47(5):425-9; quiz 430.

PMID:16645696

Abstract

A 34-year-old man presented with a two-month history of intermittent fever and left loin pain. A large left suprarenal mass was detected on computed tomography and magnetic resonance imaging. Blood pressure, serum electrolytes, serum cortisol and urinary catecholamines were normal. Laparoscopic adrenalectomy was planned but the mass was found to be an isolated adrenal abscess due to Nocardiosis. He was later found to have AIDS. The clinical utility of various imaging modalities and management of adrenal cysts are reviewed.

摘要

一名34岁男性，有两个月间歇性发热和左腰部疼痛病史。计算机断层扫描和磁共振成像检查发现左肾上腺有一个大肿块。血压、血清电解质、血清皮质醇和尿儿茶酚胺均正常。原计划行腹腔镜肾上腺切除术，但发现肿块是由诺卡菌病引起的孤立性肾上腺脓肿。后来发现他患有艾滋病。本文综述了各种影像学检查方法在肾上腺囊肿中的临床应用及治疗。