患者男,51岁,以发作性头昏、腹痛、大汗伴恶心呕吐一年半,症状再发四天入院。发作时血压高达230/130mmHg,平时血压亦不稳定。体检,腹部无阳性体征。肾盂造影,两肾无明显受压移位,肾盂肾盏无特殊。腹膜后充气造影,见左肾长径大于右肾长径约1.4cm,两肾上腺显示欠佳。 The patient was a 51-year-old man with episodes of dizziness, abdominal pain, and high sweating associated with nausea and vomiting for a year and a half. The symptoms were re-entered for four days. Blood pressure up to 230/130 mmHg during onset, and blood pressure is usually unstable. Physical examination, no positive signs of the abdomen. In pyelography, there was no significant displacement of the two kidneys, and there was no special pelvis or renal pelvis. In retroperitoneal inflation imaging, the length of the left kidney is longer than that of the right kidney by about 1.4 cm, and the two adrenal glands are poorly displayed.