A giant adrenal pseudocyst

dryakup's picture
By dryakup on
Author(s)
Yakup Yesilkaya
Resident Radiology
Department of Radiology Hacettepe Hospital Ankara TURKEY
Images

Figure Legends : 

Figure 1: Non-contrast CT revealed a giant cystic lesion over the left suprarenal region measuring 13 x 12 x 10 cm.

Case Description

Clinical History: 

A 60-year-old man with a 1-year history of left upper abdominal pain and distension

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)
Radiological and clinical features of the tumor are nonspecific and histopathological examination is essential to establish definitive diagnosis.Treatment of adrenal cysts depends on the underlying pathology, size of the cyst, associated symptoms and the occurrence of complications(4)

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.
2.Wahl HR. Adrenal cysts. Am. J. Pathol. 1951; 27: 758.
3.Fukushima N, Oonishi T, Yamaguchi K, Fukayama M. Mesothelial cyst of the adrenal gland. Pathol. Int. 1995; 45: 156

Citation:

A giant adrenal pseudocyst, Yakup Yesilkaya, Imaging Science Today, 2010, 356.

Comments

wahbeh's picture
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Joined: 09/08/2009

thank you yakup for sharing

Dr.Husam Wahbeh
Hacettepe University
Radiology Dep. Ankara-Turkey