Kanamaru H, Takagi M
Shisei Hospital, SAYAMA City, Japan.
Nihon Geka Gakkai Zasshi. 1989 Feb;90(2):310-3.
This is a case report of an adrenal pseudocyst which developed in a 46-year-old man. The patient experienced dull headache, vertigo and palpitation. The diagnosis of the right adrenal cyst was established by echography and CT scan. The fluid of the cyst obtained preoperatively by percutaneous needle aspiration under ultrasonic guidance was 30 ml of a white, cloudy fluid and contained higher concentrations of cortisol and aldosterone than those in the plasma. The adrenal cyst was removed surgically: it measured 4 x 4 x 4 cm and contained yellow and serous fluid. Histological study revealed that the wall of the cyst consisted of thick collagen fibrous tissue without endothelial cell lining and so this adrenal cyst was classified to pseudocyst of the adrenal grand. The percutaneous needle aspiration under ultrasonic guidance is useful in the diagnosis and treatment of adrenal cyst. This is the 81st case of adrenal cyst reported in the Japanese literature.
这是一例发生在一名46岁男性身上的肾上腺假性囊肿病例报告。患者出现钝痛、眩晕和心悸。通过超声检查和CT扫描确诊为右肾上腺囊肿。术前在超声引导下经皮穿刺抽吸获得的囊肿液为30毫升白色浑浊液体，其皮质醇和醛固酮浓度高于血浆中的浓度。肾上腺囊肿通过手术切除：囊肿大小为4×4×4厘米，内含黄色浆液性液体。组织学研究显示囊肿壁由厚的胶原纤维组织构成，无内皮细胞衬里，因此该肾上腺囊肿被归类为肾上腺假性囊肿。超声引导下经皮穿刺抽吸在肾上腺囊肿的诊断和治疗中是有用的。这是日本文献中报道的第81例肾上腺囊肿病例。
