Rafael-Pérez Carlos Ignacio, Paz-López Alexis Jared, Ruvalcaba-Contreras Neri
Instituto Mexicano del Seguro Social, Hospital General de Zona No. 2, Departamento de Cirugía General. Monterrey, Nuevo León, México.
Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades "Lic. Ignacio García Téllez", Unidad de Investigación Médica en Enfermedades Renales. Guadalajara, Jalisco, México.
Rev Med Inst Mex Seguro Soc. 2024 Jan 8;62(1):1-6. doi: 10.5281/zenodo.10278191.
Adrenal gland cysts are a rare entity, with a reported incidence in post-mortem series of 0.06-0.18%. However, the incidence seems to be increasing in recent years. The presentation of adrenal gland cysts is usually asymptomatic, but those cases in which symptoms are present are usually non-specific, which makes adrenal cysts generally recognized as incidentalomas. The finding is mainly made by computed tomography. The main objective of this article was to describe the clinical course of a patient with an adrenal gland pseudocyst, which is accompanied by symptoms of compression and persistent pain of long evolution in the left flank.
A 65-year-old female patient attended the emergency room of a second-level hospital due to an increase in volume of the abdominal region with a sensation of fullness, heartburn, vomiting and pain. Computed tomography was performed, which reported a cystic mass and, later, exploratory laparotomy plus adrenalectomy were carried out. The pathology analysis reported a diagnosis of a 10 x 15 x 14 cm solid, cystic, and adherent tumor, coinciding with a pseudocyst of the adrenal gland.
Adrenal gland cysts are rare. Computed tomography is recommended for its diagnosis and the standard of treatment is surgical intervention in the presence of symptoms.
肾上腺囊肿是一种罕见的疾病，据尸检系列报道其发病率为0.06 - 0.18%。然而，近年来其发病率似乎在上升。肾上腺囊肿通常无症状，但出现症状的病例通常不具有特异性，这使得肾上腺囊肿通常被认为是偶发瘤。该发现主要通过计算机断层扫描做出。本文的主要目的是描述一名肾上腺假性囊肿患者的临床病程，该患者伴有左侧腰部长期进展的压迫症状和持续性疼痛。
一名65岁女性患者因腹部增大、有饱腹感、烧心、呕吐及疼痛到二级医院急诊室就诊。进行了计算机断层扫描，报告有一个囊性肿块，随后进行了剖腹探查术加肾上腺切除术。病理分析报告诊断为一个10×15×14厘米的实性、囊性且粘连的肿瘤，符合肾上腺假性囊肿。
肾上腺囊肿罕见。建议通过计算机断层扫描进行诊断，有症状时的治疗标准是手术干预。
