腹膜后支气管源性囊肿一例
发布时间:2018-05-08 08:46
本文选题:左肾上极 + 左侧肾上腺 ; 参考:《临床放射学杂志》2017年12期
【摘要】:正患者男,65岁,因"体检发现左肾旁囊性占位"入院。无其他临床症状和体征,实验室检查无异常。腹部CT增强扫描示:腹膜后一类圆形稍高密度影,大小约为3.7 cm×4.1 cm,左肾上极轻度受压,病灶与左侧肾上腺、左侧肾脏及胰腺体、尾部的边界清晰,其内密度均匀,CT值约为50 HU,肿块无分叶,肿块内部未见分隔及囊壁结节等征象。增强扫描后,肿块未见明显强化(图1~6)。术前常规检查后,患者在全麻下行腹膜后肿物切除术。术中见肿物位于左肾上极背侧,质软,灰黄
[Abstract]:The 65-year-old patient was admitted to hospital because of the left parafronephric cystic mass found by physical examination. No other clinical symptoms and signs, no abnormal laboratory examination. Abdominal CT enhanced scan showed that the retroperitoneal circle was slightly more dense, the size was about 3.7 cm 脳 4.1 cm, the upper left kidney was slightly compressed, the lesion was associated with the left adrenal gland, the left kidney and the pancreatic body, and the boundary of the tail was clear. The CT value of the mass was about 50 HU.There was no lobular mass, no internal septum and cystic wall nodule. There was no obvious enhancement of the mass after contrast-enhanced scan (Fig. 1, n. 6). After routine preoperative examination, the patient underwent retroperitoneal mass resection under general anesthesia. The tumor was located on the dorsal side of the upper pole of the left kidney during the operation. It was soft and yellowish.
【作者单位】: 浙江省宁波市第一医院;
【分类号】:R656;R816.5
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