Kar Mitryan, Pucci Ed, Brody Fred
Department of Surgery, The George Washington University Medical Center, Washington, DC 20037, USA.
J Laparoendosc Adv Surg Tech A. 2006 Oct;16(5):478-81. doi: 10.1089/lap.2006.16.478.
Adrenal pseudocysts are rare cystic lesions surrounded by a layer of fibrous tissue that lacks epithelial or endothelial cells. Patients with adrenal pseudocysts may be asymptomatic or present with abdominal pain or other gastrointestinal symptoms. We present the case of a morbidly obese 41- year-old woman who presented with left flank pain. A computed tomography scan of the abdomen and pelvis discovered an 8-cm adrenal lesion. The lesion was hormonally inactive and a transperitoneal laparoscopic left adrenalectomy was performed to exclude malignancy. Pathology discerned multiple pseudocysts with and without calcifications. The patient was discharged on postoperative day 2. She has been asymptomatic in terms of left flank pain for 12 months. We report this case in detail and briefly review the literature regarding adrenal pseudocysts.
肾上腺假性囊肿是一种罕见的囊性病变，周围有一层缺乏上皮或内皮细胞的纤维组织。肾上腺假性囊肿患者可能无症状，或表现为腹痛或其他胃肠道症状。我们报告一例41岁病态肥胖女性，她因左侧胁腹疼痛就诊。腹部和盆腔计算机断层扫描发现一个8厘米的肾上腺病变。该病变无激素活性，遂行经腹腹腔镜左肾上腺切除术以排除恶性肿瘤。病理检查发现多个有或无钙化的假性囊肿。患者术后第2天出院。她左侧胁腹疼痛已缓解12个月，无症状。我们详细报告该病例，并简要回顾有关肾上腺假性囊肿的文献。
