巨大肾上腺淋巴管瘤术后尿瘘1例报告及经验总结  

Urinary Fistula after Operation of Giant Adrenal Lymphangioma: A Case Report and Summary of Experience

作　　者：周金 黄志扬 蔡经爽[1] 叶燕乐[1] ZHOU Jin;HUANG Zhiyang;CAI Jingshuang;YE Yanle(Department of Urology, The First Hospital of Quanzhou, Quanzhou Fujian 362000,China)

机构地区：[1]泉州市第一医院泌尿外科

出　　处：《中国卫生标准管理》2019年第11期56-59,共4页China Health Standard Management

摘　　要：目的报道1例巨大肾上腺淋巴管瘤术后尿瘘病例,探讨其诊治。方法回顾性分析我院收治的1例巨大肾上腺淋巴管瘤患者的临床详细诊治过程,总结归纳该病例影像学表现及手术要点,结合国内外文献进行分析总结。结果于腹腔镜下病损切除术,术后并发尿瘘,术后病理:送检不规则扩张的脉管组织,结合临床考虑囊状淋巴管瘤,另见肾上腺组织未见著变。结论肾上腺淋巴管瘤极其罕见,应注重影像学表现,善于应用及阅读CT、MRI,术前应注重患者影像学资料,排除功能性腺瘤,与肾上腺囊肿相鉴别。治疗主要以手术为主,尽量彻底清除囊壁组织,注重解剖性分离操作,将重要器官、血管组织暴露于视野下,可以避免及防止误伤。Objective To report a case of postoperative urinary fistula of giant adrenal lymphangioma and discuss its diagnosis and treatment.Methods A case of giant adrenal lymphangioma treated in our hospital was analyzed retrospectively. The imaging manifestations and surgical points were summarized and analyzed with literature at home and abroad.Results Laparoscopic lesion resection, postoperative urinary fistula,postoperative pathology: irregular dilated vascular tissue, combined with clinical considerations of cystic lymphangioma, adrenal tissue was not seen. Conclusion Adrenal lymphangioma is extremely rare and should be characterized by imaging. Preoperative application and reading of CT、MRI, should pay attention to the imaging data of the patients, exclude functional adenomas and differentiate them from adrenal cysts. The treatment mainly focuses on surgery, thorough removal of cystic wall tissue,anatomical separation, exposure of important organs and vascular tissue to visual field, and prevention of accidental injury.

关 键 词：肾上腺 淋巴管瘤 囊肿 腹腔镜 尿瘘 病例报告 

分 类 号：R736[医药卫生—肿瘤]