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腹部创伤后伴腹膜后出血的嗜铬细胞瘤

[Pheochromocytoma with retroperitoneal hemorrhage after abdominal trauma].

作者信息

Hayashi Takuji, Nin Mikio, Yamamoto Yoshiyuki, Kamoto Akihito, Ujike Takeshi, Nishimura Kensaku, Miyoshi Susumu

机构信息

The Department of Urology, Osaka Rosai Hospital, Japan.

出版信息

Hinyokika Kiyo. 2009 Nov;55(11):703-6.

Abstract

A 35-year-old man was delivered to the emergency room complaining of right flank pain because of blunt abdominal trauma sustained while playing baseball. Enhanced computed tomography (CT) revealed a right adrenal mass and fluid collection around the mass. We diagnosed the mass as pheochromocytoma by endocrinological examination and radioisotopical imaging test. After absorption of the hematoma three months after the injury, laparoscopic right adrenalectomy was performed. He had an uncomplicated postoperative course without supplementation of catecholamine. Pathological findings were compatible with pheochromocytoma. Eight months after the operation, he had no evidence of recurrence.

摘要

一名35岁男性因打棒球时腹部受到钝性创伤,右侧胁腹疼痛而被送至急诊室。增强计算机断层扫描(CT)显示右肾上腺有一肿块,肿块周围有积液。我们通过内分泌检查和放射性同位素成像检查将该肿块诊断为嗜铬细胞瘤。受伤三个月后血肿吸收,行腹腔镜右肾上腺切除术。术后恢复顺利,无需补充儿茶酚胺。病理结果与嗜铬细胞瘤相符。术后八个月,无复发迹象。

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