Trinavarat Panruethai, Sasiwimonphan Kewalee, Sansopha Lalana, Vejchapipat Paisarn, Sosothikul Darintr
Department of Radiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Rama IV Road, Bangkok, Thailand.
Pediatr Radiol. 2009 Mar;39(3):286-9. doi: 10.1007/s00247-008-1075-7. Epub 2008 Dec 17.
We report a 46-day-old female infant with xanthogranulomatous adrenalitis. Ultrasonography showed a complex, solid-cystic right suprarenal mass with poorly defined margins. Colour flow Doppler revealed the solid portion of the mass to be vascular. CT demonstrated a heterogeneous cystic and solid mass with some contrast enhancement in the inferior part of the lesion. There was compression of the adjacent upper pole of the right kidney and the lateral aspect of the inferior vena cava. The mass was completely removed; histological examination revealed xanthogranulomatous adrenalitis. At the time of this report she remained well 3 years following surgery.
我们报告一例46日龄患有黄色肉芽肿性肾上腺炎的女婴。超声检查显示右肾上腺有一个边界不清的复杂实性囊性肿块。彩色多普勒血流显像显示肿块的实性部分有血流信号。CT显示一个异质性的囊性和实性肿块,病变下部有一些强化。右肾相邻上极和下腔静脉外侧受压。肿块被完整切除;组织学检查显示为黄色肉芽肿性肾上腺炎。在本报告发布时,她术后3年情况良好。