Department of Family Medicine, Al Thumama Health Centre, Primary Health Care Corporation, Doha, Qatar
Department of Family Medicine, Weill Cornell Medicine, Doha, Qatar.
BMJ Case Rep. 2021 Feb 4;14(2):e235158. doi: 10.1136/bcr-2020-235158.
Haemorrhagic suprarenal pseudocysts are very rare and are often incidental findings at surgery or autopsy, though they can sometimes present with predominantly gastrointestinal or endocrine symptoms, including intraperitoneal bleeding or sepsis. Our case report is of a 48-year-old man who presented at our primary healthcare centre with 2-month history of predominantly respiratory symptoms of cough and shortness of breath. CT scan revealed a suprarenal cyst measuring 14.2×13.5×13.1 cm for which he was operated and made a full recovery. A detailed literature review reveals that there has never been a case of a haemorrhagic suprarenal pseudocyst presenting with predominantly respiratory symptoms, which is why we decided to document this case report.
出血性肾上腺假性囊肿非常罕见,通常在手术或尸检时偶然发现,尽管它们有时可能主要表现为胃肠道或内分泌症状,包括腹腔内出血或败血症。我们的病例报告是一名 48 岁男性,因主要呼吸系统症状(咳嗽和呼吸急促)在我们的初级保健中心就诊,病史为 2 个月。CT 扫描显示一个肾上腺囊肿,大小为 14.2×13.5×13.1cm,为此他接受了手术并完全康复。详细的文献回顾表明,从未有过以主要呼吸系统症状表现的出血性肾上腺假性囊肿病例,这就是我们决定记录这个病例报告的原因。