Department of Endocrinology, Key Laboratory of Chinese Health Ministry, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China.
Clin Exp Hypertens. 2011;33(5):325-7. doi: 10.3109/10641963.2010.549264. Epub 2011 Jun 7.
A 16-year-old boy suffered from headaches and dizziness for 2 years. He was found to have remarkably elevated blood pressure (BP) of 180/110 mmHg. Laboratory findings showed a low level of serum potassium and markedly increased plasma renin activity. A solid mass at the periphery of the right kidney and double inferior vena cava (IVC) were detected by abdominal computer tomography (CT). Right partial nephrectomy via laparoscopy was performed on the patient. The histologic and electron microscopic findings comfirmed a diagnosis of juxtaglomerlar cell tumor. The patient had no headache or dizziness with normal BP after surgery.
一名 16 岁男孩因头痛和头晕持续 2 年就诊,测血压显著升高至 180/110mmHg。实验室检查发现血钾水平低,血浆肾素活性显著升高。腹部 CT 显示右肾外周有一实性肿块,下腔静脉双重。行腹腔镜右部分肾切除术。组织学和电镜检查结果确诊为肾小球旁细胞瘤。术后患者头痛、头晕消失,血压恢复正常。