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患者,男,22岁。因腰痛伴右上腹包块2周于1986年12月25日入院,右上腹扪及巨大包块,固定,表面光滑,质地较硬,轻度压痛。IVP示右肾占位性病变,左肾功能形态正常,B超提示右肾混合性包块,尿镜检阴性,血沉25mm/h。12月31日行右肾探查术,肾肿块18×11×11cm,固定,与腔静脉粘连紧密,表面血管怒张,无法分离及切除。取瘤体组织数块,病理报告为肾血管平滑肌脂肪瘤。1988年5月24日因大量血尿伴失血性休克再次入院,估计为肾血管平滑肌脂肪瘤自发性破裂,遂于5月27日行右肾选择性动脉造影及明胶海绵检塞术。2天后血尿消失,B超提示肾肿块明显缩小。1周后,病人情况改善又行患肾切除,
Patient, male, 22 years old. Due to low back pain with right upper quadrant mass 2 weeks in December 25, 1986 admission, right upper quadrant palpable huge mass, fixed, smooth surface, hard texture, mild tenderness. IVP showed right renal space-occupying lesions, left kidney function morphology is normal, B-ultrasound prompted mixed right mass of the kidney, urinalysis negative, erythrocyte sedimentation rate 25mm / h. December 31 line right kidney exploration surgery, renal mass 18 × 11 × 11cm, fixed, and the vena cava adhesions close, the surface of vascular irritation, can not be separated and excised. Take a few pieces of tumor tissue, the pathological report of renal vascular smooth muscle lipoma. May 24, 1988 due to a large number of hematuria with hemorrhagic shock and re-admission, estimated as renal angiomyolipoma spontaneous rupture, then on May 27 line of right renal selective angiography and gelatin sponge sequestration. 2 days after the disappearance of hematuria, B-ultrasound prompted significantly reduced renal masses. After 1 week, the patient’s condition improved and nephrectomy,