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患者女,50岁。以右上腹肿物九年来诊。查体:血压80/40mmHg。右上腹可触及。2025×25Cm的囊性肿物,边缘清,光滑,无压痛,不活动,有明显波动。肝浊音界上移至第四肋间,下界及脾未触及。腹膜后充气造影:左肾轮廓清晰。右侧气体弥散欠佳,大量气体集于肿物下方,右肾及肿物轮廓不清。其它检查正常。诊断:右侧巨大肾上腺囊肿。于1982年6月11日在全麻下施术。术中见:右肾大小正常,被囊肿向前下推移呈水平位。囊肿巨大,光滑,未见右肾上腺。放出咖啡色囊液4200ml,后分离切除囊壁。术后恢复良好,伤口一期愈合,痊愈出院。
Female patient, 50 years old. With a right upper quadrant tumor for nine years. Physical examination: Blood pressure 80/40mmHg. Right upper abdomen can be touched. 2025×25Cm cystic mass with clear edges, smooth, no tenderness, inactivity, and significant fluctuations. The liver dullness sector moved up to the fourth intercostal space, and the lower border and spleen were not touched. Retroperitoneal inflation angiography: The left kidney is clearly outlined. The gas dispersion on the right side is poor, a large amount of gas is collected under the tumor, and the right kidney and tumor are unclear. Other checks are normal. Diagnosis: A huge adrenal cyst on the right. On June 11, 1982, he underwent surgery under general anesthesia. During the operation, the right kidney was normal in size, and it was horizontally displaced by the cyst. The cyst is huge, smooth, and there is no right adrenal gland. 4200 ml of brown cyst fluid was released and the cyst wall was detached. After the surgery, the wounds recovered well and the wounds healed on one occasion, and they were cured and discharged.