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[肾血管平滑肌脂肪瘤致急腹症]

[Renal angiomyolipoma causing an acute abdomen].

作者信息

Artese L, Relmi F, Bastonno O, Leombruni E, Visini R, Picardi N

机构信息

Facoltà di Medicina e Chirurgia, Università degli Studi.

出版信息

Ann Ital Chir. 1995 Nov-Dec;66(6):901-7.

PMID:8712608
Abstract

Herewith referred a case of renal angiomyolipoma relieved on a patient of 62. The new involvement has been found following an evidence of a keen syntomathology related by a steep abdominal ache centred above all on the right hypocondrium followed by a general light ache. The ecography and the "TAC" on the bely have showed a new enlarged involvement, centred on the hypocondrium and on the right oval side of a diameter of nearly 35 cm, that moved anteriorly the right renal, with an involvement of a perirenal hematoma. The surgery has ended with a nephrectomy with the drop of the involvement on the renal tissue and the emorragical enlargement which has allowed a local nephrectomy and therefore to resume the organon as a new growth not dangerous. The histological diagnosis separated on the renal carcinoma han been possible with certainty only examining cruently the area after a tumorectomia, but the general clinical course and the evidence of the angioTAC had been realized towards the exact diagnosis.

摘要

在此提及一例62岁患者的肾血管平滑肌脂肪瘤得到缓解的病例。新的病变是在出现以右上腹剧痛为主的剧烈症状学证据后发现的,随后出现全身轻度疼痛。腹部超声和“TAC”检查显示有一个新的增大病变,位于上腹部和右椭圆形区域,直径近35厘米,使右肾向前移位,并伴有肾周血肿。手术以肾切除术结束,切除了肾组织上的病变以及出血性增大部位,从而得以进行局部肾切除术,因此可将该器官视为一种无危险的新生长物。只有在肿瘤切除术后对当前区域进行检查,才能确定将其与肾癌在组织学上区分开来,但总体临床病程以及血管TAC的证据已有助于做出准确诊断。

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