相关实验视频
Updated: Jun 27, 2026

06:08
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
23.4K
同时的上腺和副上腺髓脂瘤:一个病例报告
Golnaz Moradi1, Diana Zarei2, Mahbod Issaiy2
1Department of Radiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
International journal of surgery case reports
|March 2, 2024
概括
本案例研究详细介绍了一例罕见的上腺和副上腺髓脂瘤同时发生在患有多种并发症的患者身上. 这些发现强调了这些良性瘤的诊断挑战和手术后并发症的可能性.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
背景情况:
- 髓脂瘤是由成熟的脂肪和造血细胞组成的良性瘤,通常在上腺体中发现.
- 它们占上腺瘤的6-16% ,并且通常是偶然发现的.
- 同时发生上腺和副上腺髓脂瘤是一种非常罕见的情况.
研究的目的:
- 报告一种罕见的同时发生上腺和副上腺髓脂瘤的病例.
- 讨论与这些罕见瘤相关的诊断和管理挑战.
- 强调手术前评估和手术规划对伴随疾病的患者的重要性.
主要方法:
- 一个65岁的女性病例研究,有史以来史蒂文-约翰逊综合征.
- 最初的表现与上胃疼痛,诊断为强血性胆囊炎.
- 假定胆囊炎的手术干预导致了上腺和副上腺髓脂瘤的发现和治疗,包括因手术内出血而导致的左侧上腺切除术.
主要成果:
- 病理学检查证实了左上腺,侧大动脉和左侧上腺区域的髓脂瘤.
- 在试图活检上腺损伤时发生了显著的手术内出血,需要进行上腺切除术.
- 该患者同时患有并发性疾病,包括史蒂文-约翰逊综合征.
结论:
- 同时发生的上腺和上腺骨髓脂瘤会带来罕见的诊断和管理挑战.
- 从其他 retroperitoneal 群体区分 myelolipomas 是至关重要的.
- 由于潜在的手术后并发症,精心的手术规划和手术前评估至关重要,特别是在患有并发症的患者中.
相关概念视频
Sympathetic Pathways: Collateral Ganglia and Adrenal Medulla
The sympathetic pathways of the collateral ganglia and adrenal medulla serve unique but interconnected roles in the sympathetic response.
Collateral Ganglia
Sympathetic preganglionic axons reach the collateral ganglia along the route of splanchnic nerves. These nerves bypass the sympathetic trunk and communicate with sympathetic postganglionic neurons housed in the prevertebral ganglia. These ganglia supply the organs of the abdominopelvic cavity.
The greater splanchnic nerve, formed by the...
Collateral Ganglia
Sympathetic preganglionic axons reach the collateral ganglia along the route of splanchnic nerves. These nerves bypass the sympathetic trunk and communicate with sympathetic postganglionic neurons housed in the prevertebral ganglia. These ganglia supply the organs of the abdominopelvic cavity.
The greater splanchnic nerve, formed by the...
Anatomy of the Adrenal Glands
The adrenal or supra-renal glands, situated above the kidneys and aligned with the twelfth rib, are paired pyramid-shaped structures crucial for the body's stress response. During stress, these glands secrete hormones vital for adaptive physiological reactions.
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct regions...
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct regions...
Adrenal Gland Disorders
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Cushing Syndrome I: Introduction
Cushing syndrome refers to the collection of clinical manifestations that arise when tissues are exposed to excessive amounts of cortisol or cortisol-like medications over an extended period. Cortisol, a glucocorticoid produced by the adrenal cortex, regulates metabolism, immune responses, and the body’s adaptation to stress. When its concentration remains chronically elevated, these physiological pathways become dysregulated, resulting in the characteristic features of the syndrome.Exogenous...
Cushing Syndrome II: Pathophysiology
Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features of the...

