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A giant adrenal pseudocystClinical History: A 60-year-old man with a 1-year history of left upper abdominal pain and distension Findings: Figure 1: Non-contrast CT revealed a giant cystic lesion over the left suprarenal region measuring 13 x 12 x 10 cm. Diagnosis: Adrenal pseudocyst Discussion: Adrenal cysts are rare and mostly silent clinically.Symptoms are usually related to the size and local pressure effect of the cysts.(1)An autopsy study reported a 0.06% incidence of adrenal cysts in the population.(2)Adrenal cysts have been reported in patients of all ages.Since up to 7% of adrenal cysts are malignant, a careful hormonal, morpho-functional and instrumental evaluation is mandatory.Improvement in diagnostic technology now makes it possible to identify asymptomatic or non-functioning adrenal tumors, including adrenal cysts.(3) References / Suggested Reading: 1.Khoda J, Hertzanu, Y, Sebbag G, Lantsberg L, Barky Y: Adrenal cysts: diagnosis and therapeutic approach. Int Surg 1993;78:239-242.
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thank you yakup for sharing
Dr.Husam Wahbeh
Hacettepe University
Radiology Dep. Ankara-Turkey