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1、The Case Reprot,Name, Zhang Xiaolan,female,51 year old. Chief Complaint: Paroxysmal syncope 4 months, Left flank pain for 2 months Syncope blood pressure : 180/120mmHg(Millimeters of mercury),No suffering condition blood pressure : 110/60mmHg (Millimeters of mercury) Unenhanced spiral CT scan: Left
2、adrenal solid mass Enhanced CT and CTA：Left adrenal mass, the possibility of adrenal adenomas, the lesion are very close with left renal vein and renal artery. Uterine fundus mass, more consideration uterine fibroids,Reference values of urinary VMA:15.39 mg(milligram) /24h; (13.6mg/24h) Serum potassium concentration(K+): 3.22mmol/L;(3.5-5.5mmol/L),Treatment：Laparoscopic left adrenal tumor resection Clinical diagnosis：Left adrenal pheochromocytoma How to avoid injury on renal vascular in surgery,THANKS,