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患者,女,43岁,无明显诱因出现左上腹部痛,持续性发作1周。查体:左上腹可扪及一包块,质稍硬,有深压痛,无反跳痛。血压24小时波动在20～24/11～15KPa。实验室检查:24小时尿VMA增高,B超:左上腹实性占位病变,提示肾上腺肿块可能性大;ECT检查:左侧肾上腺不显影,呈“空缺”灶;左肾动脉造影:左肾上腺区域占位病变,考虑:嗜铬细胞瘤可能性大。CT
The patient, female, was 43 years old and had no obvious cause of pain in the upper left abdomen and had persistent attacks for 1 week. Physical examination: The left upper abdomen can be paralyzed and a mass, slightly harder, with deep tenderness, and no rebound tenderness. The blood pressure fluctuates at 20-24/11-15KPa for 24 hours. Laboratory examination: 24-hour urinary VMA increase, B-ultrasound: solid mass lesions in the left upper abdominal region, suggesting that the adrenal mass is highly likely; ECT examination: left adrenal gland is not developed, showing a “vacant” lesion; left renal artery angiography: left adrenal gland Regional lesions, consider: pheochromocytoma is highly likely. CT