Gul Zeynep G, Liaw Christine W, Reddy Avinash, Mehrazin Reza
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Case Rep Urol. 2020 Jun 19;2020:7321015. doi: 10.1155/2020/7321015. eCollection 2020.
Although upper pole renal masses and adrenal masses can usually be distinguished on cross-sectional imaging, large masses can obscure the boundaries between the kidney and adrenal gland. We describe a unique case of an adrenal pheochromocytoma in a 42-year-old female who was referred for robotic partial nephrectomy. During the procedure, the patient developed severe hypertension. The case was aborted, and the workup revealed pheochromocytoma. After appropriate pretreatment, the patient underwent a successful robotic adrenalectomy and partial nephrectomy. Therefore, we recommend screening patients with hypertension and large upper pole masses for pheochromocytoma to better direct preoperative management.
尽管肾上极肿块和肾上腺肿块通常可通过横断面成像加以区分，但较大的肿块可能会模糊肾脏与肾上腺之间的界限。我们描述了一例独特的病例，一名42岁女性患有肾上腺嗜铬细胞瘤，因接受机器人辅助部分肾切除术前来就诊。手术过程中，患者出现严重高血压。手术中止，进一步检查发现为嗜铬细胞瘤。经过适当的术前准备，患者成功接受了机器人辅助肾上腺切除术和部分肾切除术。因此，我们建议对患有高血压和肾上极较大肿块的患者进行嗜铬细胞瘤筛查，以便更好地指导术前管理。
