Sasaki Kazuki, Yamada Terumasa, Gotoh Kunihito, Kittaka Hirotada, Takahashi Hidenori, Yano Masahiko, Ohigashi Hiroaki, Ishikawa Osamu
Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan.
Case Rep Gastroenterol. 2012 Jan;6(1):171-6. doi: 10.1159/000338063. Epub 2012 Apr 3.
We report herein a case of idiopathic adrenal hematoma. A 59-year-old Japanese man was referred to our hospital for evaluation of a 7.0 cm mass in the right upper abdominal cavity. The tumor was suspected to originate from either the posterior segment of the liver or the right adrenal gland. His chief complaint was weight loss of 8 kg over the previous 6 months. He had no past medical history and took no medications, including no anticoagulants. Laboratory data were almost normal except for a slight elevation of PIVKA-II. The origin of the tumor was found to be the adrenal gland, as angiography revealed the blood supply to the mass to derive from the right superior and inferior adrenal arteries. A fine needle biopsy of the lesion was unable to confirm the diagnosis. Open right adrenalectomy was performed. The histopathological findings of the surgical specimen revealed a hematoma with normal adrenal tissue. In the absence of any obvious etiology, the diagnosis was idiopathic adrenal hematoma.
我们在此报告一例特发性肾上腺血肿病例。一名59岁的日本男性因右上腹腔内一个7.0厘米的肿块前来我院评估。该肿瘤疑似起源于肝脏后段或右肾上腺。他的主要诉求是在过去6个月内体重减轻了8千克。他既往无病史，未服用任何药物，包括抗凝剂。实验室检查数据除PIVKA-II略有升高外几乎正常。血管造影显示肿块的血供来自右肾上腺上下动脉，从而发现肿瘤起源于肾上腺。对该病变进行细针穿刺活检未能确诊。遂行开放性右肾上腺切除术。手术标本的组织病理学检查结果显示为伴有正常肾上腺组织的血肿。由于没有任何明显病因，诊断为特发性肾上腺血肿。
