腎上腺囊腫是罕見的,大多數在臨床上沒有症狀。我們在此報告一例腎上腺囊腫。一位55歲女性有上腹部痛及左脅腹痛,腹部超音波檢查意外發現在左腎上方有囊狀,鈣化之腫瘤。電腦斷層顯示左腎上腺囊狀腫瘤,且其壁有鈣化。核磁共振掃描發現左側後腹腔囊狀腫瘤內含有液體成分。血管攝影顯示此腫瘤為無血管性。手術發現左腎上腺鈣化囊狀腫瘤並予以切除。病理診斷為腎上腺偽囊腫併壁鈣化。我們討論腎上腺囊腫的診斷及處置並對文獻做一簡單回顧。
Adrenal cysts are rare and mostly silent clinically. Herein we report a case of adrenal cyst. A 55-year-old female was incidentally found to have a left suprarenal cystic lesion with a calcified wall by abdominal sonography during a workup for her epigastralgia and left flank pain. Then, computed tomography (CT) revealed a left adrenal cystic mass with wall calcification, magnetic resonance imaging (MRI) showed left retroperitoneal cystic mass with fluid content, and angiography demonstrated an avascular lesion. Surgical exploration was performed via a flank incision and a calcified cystic adrenal mass was excised. The pathologic diagnosis was adrenal pseudocyst with calcified wall. We discuss the diagnosis and management of adrenal cyst and briefly review the literature.