Department of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China,
Department of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Urol Int. 2023;107(8):807-813. doi: 10.1159/000529711. Epub 2023 Apr 19.
Adrenal tuberculosis (TB) is a rare disease, which is difficult to diagnose because of its atypical symptoms. We reported a 41-year-old female who was admitted to hospital due to a left adrenal tumor, which was found in health examination without any symptoms. Abdominal CT showed a mass in her left adrenal. The results of blood test were normal. A retroperitoneal laparoscopic adrenalectomy was carried out, and adrenal TB was finally pathologically diagnosed. Following this, examinations focusing on TB were conducted which revealed negative results except for T-cell enzyme-linked immunospot. After the operation, the hormone level was normal. However, a wound infection occurred, which was recovered after antituberculosis treatment. In conclusion, even if there is no evidence of TB, we should be alert when diagnosing adrenal masses. Examinations of pathology, radiography, and hormone play important roles in determining the definite diagnosis of adrenal TB.
肾上腺结核（TB）是一种罕见的疾病，由于其症状不典型，因此难以诊断。我们报告了一例 41 岁女性，因左肾上腺肿瘤在健康检查时无任何症状而入院。腹部 CT 显示左肾上腺有一肿块。血液检查结果正常。进行了后腹腔镜肾上腺切除术，最终病理诊断为肾上腺结核。随后，进行了针对结核病的检查，除 T 细胞酶联免疫斑点试验外，其他检查均为阴性。手术后，激素水平正常。然而，发生了伤口感染，经抗结核治疗后恢复。总之，即使没有结核病的证据，我们在诊断肾上腺肿块时也应该保持警惕。病理学、影像学和激素检查在确定肾上腺结核的明确诊断中起着重要作用。
