Department of Urology, Queen's University, Kingston, Ontario.
Can J Urol. 2020 Apr;27(2):10192-10194.
Adrenal cavernous hemangiomas are a rare, benign, and non-functional tumor. We report a case of a 62-year-old male who presented with right upper quadrant and flank pain. Physical examination revealed a fullness of the right upper quadrant. Both computed tomography and magnetic resonance imaging suggested a hemangioma originating from the liver. During angiography with the intent of embolization, it was discovered that the vascular supply was consistent with an adrenal mass rather than a hepatic origin. The patient was referred to Urology and underwent curative right open adrenalectomy and nephrectomy. Histopathology confirmed the diagnosis of an adrenal cavernous hemangioma.
肾上腺海绵状血管瘤是一种罕见的良性、非功能性肿瘤。我们报告了一例 62 岁男性,其表现为右上象限和侧腰痛。体格检查发现右上象限饱满。计算机断层扫描和磁共振成像均提示肝血管瘤起源。在进行栓塞治疗的血管造影过程中,发现血管供应与肾上腺肿块一致,而不是肝起源。患者转至泌尿外科,接受了根治性右开放肾上腺切除术和肾切除术。组织病理学证实了肾上腺海绵状血管瘤的诊断。