Mignard J P, Sobel J, Flabeau F
Sem Hop. 1983 Oct 6;59(35):2485-8.
The authors report two cases of pancreatic pseudocysts simulating a left renal pathology. Although arteriography and sonography may visualize a cyst, the key to the diagnosis is the high amylase content of the fluid collected by translumbar puncture of the pseudocyst. Correct conservative treatment implies a precise preoperative diagnosis, as abdominal exploration is apt to be confusing and often leads to the performance of an unnecessary nephrectomy.
作者报告了两例模拟左肾病变的胰腺假性囊肿病例。尽管动脉造影和超声检查可能使囊肿显影,但诊断的关键在于通过假性囊肿经腰穿刺收集的液体中淀粉酶含量高。正确的保守治疗意味着精确的术前诊断,因为腹部探查容易造成混淆,且常常导致不必要的肾切除术。