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Giant adrenal endothelial cyst associated with acute and chronic morbidity in a young female: a case report

机译:一名年轻女性的急,慢性发病相关的巨大肾上腺内皮细胞囊肿:一例报告

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Adrenal cysts are rare clinical entities that can present as acute abdomen through rupture and internal hemorrhage as well as chronic symptoms such as gastrointestinal disturbances. A 20-year-old girl presented to our hospital with a 4-years history of abdominal pain and diarrhea. Ultrasound of the abdomen revealed a cystic area measuring 10 × 10 cm between the spleen and left kidney. Computed tomography scan showed a large cystic, homogeneous mass measuring 12.8 × 9.5 × 9.4 cm in the left hypochondrium with most likely origin from the left adrenal gland. Limited work up for hormone hypersecretion was negative. The patient was then encountered in the emergency room with an acute abdomen secondary to intracystic hemorrhage. A laparotomy with left adrenalectomy was performed. Final pathology showed a benign adrenal endothelial cyst. Post-operatively, the patient's long standing complaints of diarrhea and abdominal pain completely resolved. Surgical resection appears a safe and reasonable management strategy in a patient with intracystic hemorrhage of adrenal cyst.
机译:肾上腺囊肿是罕见的临床实体,可通过破裂和内部出血以及慢性症状(例如胃肠道不适)表现为急性腹部。一名20岁女孩因腹部疼痛和腹泻4年的病史来到我们医院。腹部超声检查显示,脾脏和左肾之间有一个10×10 cm的囊性区域。计算机体层摄影术扫描显示,左软骨膜中有12.8×9.5×9.4 cm的大的囊性均质肿块,最可能起源于左肾上腺。有限的荷尔蒙分泌过多检查为阴性。然后,该患者在急诊室遇到囊内出血继发的急腹症。进行了左肾上腺切除术的剖腹手术。最终病理显示为肾上腺良性囊肿。术后,患者长期以来对腹泻和腹痛的主诉完全消失。对于肾上腺囊肿的囊内出血患者,手术切除似乎是一种安全合理的治疗策略。

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