急性髓系白血病合并骨髓增生异常相关改变导致非典型双侧肾上腺梗死引起的急性腹痛：一例报告
Acute abdominal pain due to atypical bilateral adrenal infarction in acute myeloid leukemia with alterations related to myelodysplasia: A case report.
作者信息
Hirata Risa, Tago Masaki, Yamashita Shun, Yamamoto Satsuki, Yaita Shizuka, Hirakawa Yuka, Ono Maiko, Yamashita Shu-Ichi
机构信息
Department of General Medicine Saga University Hospital Saga Japan.
Department of General Medicine Karatsu Municipal Hospital Karatsu Japan.
出版信息
Clin Case Rep. 2023 Sep 27;11(10):e7925. doi: 10.1002/ccr3.7925. eCollection 2023 Oct.
KEY CLINICAL MESSAGE
Acute myeloid leukemia (AML) can cause acute abdomen following adrenal insufficiency or adrenal infarction. Therefore, when diffusely enlarged adrenal glands and adrenal insufficiency of unknown cause are seen in a patient presenting with acute abdomen, adrenal infarction due to AML, or other hematologic diseases should be ruled out.
ABSTRACT
A 49-year-old man developed acute abdominal pain following adrenal insufficiency and was diagnosed with acute myeloid leukemia (AML) with myelodysplasia-related changes. Because AML can cause acute abdominal pain due to adrenal infarction following adrenal insufficiency, a patient with these conditions should be ruled out adrenal infarction due to AML or other hematologic diseases.
关键临床信息
急性髓系白血病（AML）可在肾上腺功能不全或肾上腺梗死之后引发急腹症。因此，对于出现急腹症且肾上腺弥漫性肿大及病因不明的肾上腺功能不全患者，应排除由AML或其他血液系统疾病导致的肾上腺梗死。
摘要
一名49岁男性在肾上腺功能不全后出现急性腹痛，被诊断为伴有骨髓增生异常相关改变的急性髓系白血病（AML）。由于AML可在肾上腺功能不全后因肾上腺梗死导致急性腹痛，对于患有这些病症的患者，应排除由AML或其他血液系统疾病导致的肾上腺梗死。
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