Sakamoto I, Nakahara N, Fukuda T, Nagayoshi K, Matsunaga N, Hayashi K
Department of Radiology, Nagasaki University School of Medicine, Japan.
J Urol. 1994 Jul;152(1):150-2. doi: 10.1016/s0022-5347(17)32841-0.
We report 2 cases of adrenal pseudocysts that resulted from hemorrhage into a normal adrenal gland and that showed atypical imaging features on computerized tomography and ultrasonography. The presence of a solid component within the mass and/or central calcification, which is unlike the typical features of adrenal pseudocyst, suggested a diagnosis of adrenal tumor. The solid component diminished on computerized tomography in 26 days in case 1 and in 16 days in case 2, which seemed to represent resolving hematoma. The atypical appearance of these adrenal pseudocysts, especially the changeable pattern of the solid component within the mass, should be kept in mind to ensure a correct preoperative diagnosis.
我们报告了2例肾上腺假性囊肿，其起因是正常肾上腺内出血，在计算机断层扫描和超声检查中表现出非典型的影像学特征。肿块内存在实性成分和/或中央钙化，这与肾上腺假性囊肿的典型特征不同，提示为肾上腺肿瘤。病例1中实性成分在计算机断层扫描中26天内缩小，病例2中在16天内缩小，这似乎代表血肿的吸收。应牢记这些肾上腺假性囊肿的非典型表现，尤其是肿块内实性成分的可变模式，以确保术前做出正确诊断。
