肾上腺泡型包虫病误诊一例报告

The misdiagnosis reported about a case of adrenal alveolar echinococcosis

回顾性分析我院收治并误诊的1例肾上腺泡型包虫病患者的临床资料。本例术前CT检查示肝脏S7段-右侧肾上腺区见不规则团块状混杂密度病变,界限不清,考虑肝包虫可能。术中发现包虫仅侵及肝脏被膜,原发病灶为肾上腺,请泌尿外科术中会诊,并行右侧肾上腺及病灶切除术,术后病理诊断为肾上腺泡型包虫病。当影像学检查考虑肝泡型包虫病,且病灶以肾上腺区域为主时,应考虑原发病灶在肾上腺可能,以免误诊。

The clinical data of a case of adrenal alveolar echinococcosis treated and misdiagnosed in our hospital were reported retrospectively.The pre-operative CT examination of this patient showed that the liver S7 segment-the right adrenal gland area showed irregular masses of mixed density lesions,the boundary was unclear,consider the possibility of liver hydatid.During the operation,hydatid was found to only invade the liver capsule,and the primary lesion was the adrenal gland.The right adrenal gland and lesion were resected by urological surgeons.The pathological diagnosis was adrenal alveolar echinococcosis.When the imaging examination considers hepatic alveolar echinococcosis,and the lesion is mainly in the right adrenal gland area,it should be considered that the primary lesion could be in the adrenal gland.