GIANT ADRENAL PSEUDOCYST PRESENTING WITH HYPERTENSION: LAPAROSCOPIC MANAGEMENT
Abstract
An adrenal pseudocyst is a rare clinical entity. When present, they are non-functioning and asymptomatic. Most adrenal cysts are less than 10 cm in diameter and usually discovered incidentally. However, they can grow to a much larger size and cause size-related symptoms. We report a pseudocyst of the left adrenal gland measuring 21 cm in diameter in a 49-year-old woman. She presented with left flank fullness, hypertension, and back pain over a 6 month period. Abdominal ultrasound and CT imaging revealed a large cystic mass in the left adrenal gland. The patient underwent trans-abdominal laparoscopic excision of the cyst following fluid aspiration. On histopathological examination, the cystic wall was made of pseudocapsule with no endothelial or epithelial lining. Blood pressure normalized 3 months after the surgery.
Downloads
References
2. Papaziogas B, Katsikas B, Psaralexis K, Makris J, Chatzimavroudis G, Tsiaousis R, et al. Adrenal pseudocyst presenting as acute abdomen during pregnancy. Acta Chir Belg 2006; 106: 722-725.
3. Doran AHG. Cystic tumor of the suprarenal body successfully removed by operation. Br Med J 1908; 1: 1558-63.
4. Aloraifi F, O'Brien G, Broe P. Giant Adrenal Pseudocyst Treated Laparoscopically: Case Report and Review of the Literature. The Open Surgery Journal 2008;2:39-42
5. Cerise EJ, Hammon JW Jr. Adrenal cyst. Surgery 1967; 63:903-10.
6. Erickson L A, Ricardo MD, Lloyd RV, Hartman R, Thompson G. Cancer 2004;101:1537-44.
7. Mohan H, Aggarwal R, Tahlan A, Bawa AS, Ahluwalia M. Giant adrenal pseudocyst mimicking a malignant lesion. Can J Surg 2003; 46:474.
8. Rao A, Majmudar B, Bumpers H. Giant adrenal pseudocyst. Surg Rounds 2007; 30:210.
9. Abershause GA, Goldstein RB, Abeshouse BS. Adrenal cysts: a review of the literature and report of three cases. J Urol 1959; 81:711-719.
10. Fajardo R, Montalvo J, Velazquez D, et al. Correlation between radiologic and pathologic dimensions of adrenal masses. World J Surg 2004; 28(5):494-7.
11. Escudero MD, Sabater L, Calvete J, Camps B, Labios M, Lledo S. Arterial hypertension due to primary adrenal hydatid cyst. Surgery 2002; 132:894-5.
12. Nil HE, Swamy N, Nakhla EA, Alhendal A.Diagnostic dilemmas in large adrenal pseudocysts: A case report. The Egyptian Journal of Radiology and Nuclear Medicine 2012;43:481-485.
