副腎偽嚢腫の1例

Abstract

1) 23歳, 男に発生した局所感染を伴った副腎偽嚢腫例.2)超音波下の穿刺吸引は, 炎症を軽減させ, 全身状態の改善および手術の簡略化に有効であった.3)副腎嚢腫と他臓器原発の嚢腫の鑑別には, 超音波下の穿刺吸引による内容液の生化学的, 内分泌学的検査が有用である

A 23-year-old man presented with high fever and left abdominal pain. Ultrasonography, CT scan and angiography visualized a left adrenal cyst. Cyst fluid obtained preoperatively by percutaneous needle puncture under ultrasonographic guidance was purulent, and had a higher level of aldosterone, and lower level of amylase than the plasma. These findings suggested that this cyst originated from the adrenal gland. Histopathological examination of the surgically removed specimen confirmed the adrenal pseudocyst.