48岁女性患者,两年来患有多毛症,并因急腹症入院剖腹探查。发现右肾上腺有大而血管丰富的肿瘤,因侵犯腔静脉未能切除,术中行针吸活检甚易出血,只好压迫止血。病理检查仅见纤维性及灶性坏死的肾上腺组织。实验室检查17-酮类固醇及17-生酮类固醇增加。选择性动脉造影(肾上腺、肠系膜上动脉、腹腔动脉干、肝与脾动脉)显示由腹腔动脉干与肠系膜 A 48-year-old female patient had hirsutism for two years and was hospitalized for exploratory laparotomy due to acute abdomen. It was found that the right adrenal gland had large, well-differentiated tumors. Since the invasion of the vena cava was not performed, the needle biopsy in the operation was very easy to bleed. He had to oppress the hemostasis. Only pathological examination of fibrous and focal necrosis of adrenal tissue. Laboratory investigations of 17-ketosteroids and 17-ketogenic steroids increased. Selective arteriography (adrenal, superior mesenteric, celiac artery, hepatic, and splenic arteries) showed celiac artery trunk and mesentery