Jügelt U, Bohl J, Raulf F, Klose K
Z Gastroenterol. 1982 May;20(5):286-93.
Case-report of a 54 year-old patient who was admitted with the clinical picture of an acute abdomen on the basis of intraabdominal haemorrhage. X-ray investigation discounted the diagnosis of ruptured aortic aneurysm, the CAT scan showed a suspected acute haemorrhagic necrotising pancreatitis. At laparotomy, a fatty, bleeding kidney tumour was found growing into the retroperitoneal tissue. The histological frozen-section showed a leimyo liposarcoma of the kidney. Bourneville-Pringle's disease was only afterwards known to be the basic illness of the patient, as was verified at postmortem examination. From the knowledge of these new facts, both the CAT-scan and the intra-operative and histological findings could be correctly interpreted.
一名54岁患者的病例报告,该患者因腹腔内出血而以急腹症的临床表现入院。X线检查排除了主动脉瘤破裂的诊断,计算机断层扫描显示疑似急性出血坏死性胰腺炎。剖腹手术时,发现一个脂肪性、出血性肾肿瘤长入腹膜后组织。组织学冰冻切片显示为肾平滑肌肉瘤。直到尸检时才发现患者的基础疾病是结节性硬化症。根据这些新事实,可以正确解释计算机断层扫描以及术中及组织学检查结果。