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Title: 副腎偽嚢腫の1例
Other Titles: Adrenal pseudocyst; a case report
Authors: 皆川, 倫範  KAKEN_name
西澤, 秀治  KAKEN_name
中山, 剛  KAKEN_name
岡根谷, 利一  KAKEN_name
Author's alias: Minagawa, Tomonori
Nishizawa, Shuji
Nakayama, Tsuyoshi
Okaneya, Toshikazu
Keywords: Adrenal pseudocyst
Chronic expansive hematoma
Issue Date: Feb-2007
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 53
Issue: 2
Start page: 105
End page: 106
Abstract: 35歳女。右上腹部の腫瘤に気付いた。血液生化学検査, 内分泌検査などに異常はなく, KUBで右腹部に巨大な球状の石灰化像を認めた。腹部造影CTでは辺縁石灰化を伴う径20cmの嚢胞性病変を認め, 副腎嚢胞を疑ったが悪性疾患を完全には否定できず, 開腹術を行った。腫瘤は後腹膜に限局し, 腎からの剥離は容易で, 右副腎に隣接していた。右副腎と腫瘤を一塊にして摘出した。摘出標本は嚢胞で, 内容液は茶褐色の液体であった。組織学的所見で嚢胞壁は線維性結合組織から成り, 内皮を認めなかった。嚢胞の内部には新旧の血液成分を, 壁内にコレステリン結晶と異物巨細胞を認め, 副腎偽嚢腫と診断した。
We report a case of adrenal pseudocyst. A 35-year-old woman presented with palpation of right upper abdominal mass without tenderness. Abdominal computed tomographic scan showed a right retroperitoneal cystic mass 20 cm in diameter. The patient underwent complete resection of the mass, including the normal adrenal gland. The cyst contained 3100 ml of dark brown thrombotic liquid. Histopathological examination revealed adrenal pseudocyst with a thick figrocollagenous wall. The normal adrenal gland was compressed by the wall. Adrenal pseudocyst is a rare disease. The mechanisms of adrenal pseudocyst formation and their expanding nature are discussed.
URI: http://hdl.handle.net/2433/71351
PubMed ID: 17352159
Appears in Collections:Vol.53 No.2

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