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偶然发现的出血性巨大肾上腺髓脂肪瘤：病例报告

Hemorrhagic giant adrenal myelolipoma discovered incidentally: a case report.

作者信息

Alhassan Luma, Nasser Hassan, Ali Mohammed A, Sagher Haneen G, Al-Janabi Moatasem H

机构信息

Department of Nephrology, Tishreen University Hospital, Lattakia, Syria.

Department of Urologic Surgery, Tishreen University Hospital, Lattakia, Syria.

出版信息

J Surg Case Rep. 2024 Mar 22;2024(3):rjae169. doi: 10.1093/jscr/rjae169. eCollection 2024 Mar.

DOI:10.1093/jscr/rjae169
PMID:38524672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10960941/
Abstract

Adrenal myelolipomas are rare, benign, nonfunctional tumors composed of mature adipose tissue and hematopoietic elements. Hemorrhage within an adrenal myelolipoma is an uncommon occurrence, and when it happens, it can present with various clinical manifestations. Here, we report a case of a hemorrhagic giant adrenal myelolipoma in a 45-year-old female that was discovered incidentally. We discuss the clinical presentation, radiological findings, surgical intervention, and postoperative outcomes in this case report.

摘要

肾上腺髓质脂肪瘤是一种罕见的、良性的、无功能的肿瘤，由成熟的脂肪组织和造血成分组成。肾上腺髓质脂肪瘤内出血是一种不常见的情况，一旦发生，可表现出各种临床表现。在此，我们报告一例45岁女性偶然发现的出血性巨大肾上腺髓质脂肪瘤病例。我们在本病例报告中讨论了临床表现、影像学检查结果、手术干预及术后结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/0daf6a1eb37b/rjae169f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/35b05cb48c6a/rjae169f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/a5056abfb804/rjae169f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/0daf6a1eb37b/rjae169f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/35b05cb48c6a/rjae169f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/a5056abfb804/rjae169f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f918/10960941/0daf6a1eb37b/rjae169f3.jpg

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本文引用的文献

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Surgical approaches to the adrenal gland.肾上腺的手术入路
Curr Opin Endocrinol Diabetes Obes. 2023 Jun 1;30(3):161-166. doi: 10.1097/MED.0000000000000810. Epub 2023 Apr 14.
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Case report: Adrenal myelolipoma resected by laparoscopic surgery.病例报告：经腹腔镜手术切除肾上腺髓脂肪瘤。
Front Oncol. 2022 Dec 5;12:1058211. doi: 10.3389/fonc.2022.1058211. eCollection 2022.
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Adrenal Myelolipoma Masquerading as an Adrenal Malignancy.伪装成肾上腺恶性肿瘤的肾上腺髓质脂肪瘤
Case Rep Endocrinol. 2022 Jan 17;2022:4044602. doi: 10.1155/2022/4044602. eCollection 2022.
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A Rare Case of Hemorrhagic Giant Adrenal Myelolipoma: Radiographic and Pathologic Correlation.一例罕见的出血性巨大肾上腺髓脂肪瘤：影像学与病理学对照
Cureus. 2021 Aug 21;13(8):e17353. doi: 10.7759/cureus.17353. eCollection 2021 Aug.
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Lancet Diabetes Endocrinol. 2021 Nov;9(11):767-775. doi: 10.1016/S2213-8587(21)00178-9. Epub 2021 Aug 24.
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BMJ Case Rep. 2019 Dec 19;12(12):e232439. doi: 10.1136/bcr-2019-232439.
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World J Clin Cases. 2015 Sep 16;3(9):853-60. doi: 10.12998/wjcc.v3.i9.853.
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Can Urol Assoc J. 2011 Aug;5(4):241-7. doi: 10.5489/cuaj.11135.