title: Large adrenal pseudocyst presenting with epigastric distress and abdominal distention.
abstract: OBJECTIVE
  We report a patient with a large adrenal pseudocyst presenting with epigastric distress and abdominal distention.
  
  
  METHODS
  A 35-year-old man presented with a 1-year history of nonspecific epigastric distress and abdominal distention. Routine laboratory tests and endocrine function tests were within the normal ranges. Magnetic resonance imaging (MRI) revealed a large left adrenal cyst. Adrenal cyst showed low intensity on T1-weighted MRI images and high density on T2-weighted MRI images. The patient underwent surgery, and the cyst was completely removed. Histological examination showed that the cyst wall consisted of hyalinized fibrous tissue without an epithelial or endothelial lining, and a diagnosis of an adrenal pseudocyst was made. Symptoms resolved after pseudocyst removal.
  
  
  CONCLUSIONS
  The report showed a patient with adrenal pseudocyst, a rare and uncommon condition that was diagnosed on MR images and confirmed by histology. The epigastric distress and the abdominal distention resolved after the pseudocyst was surgically removed.
authors.affiliation: Department of Internal Medicine (Division of Endocrinology and Metabolism), Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. cihangirerem@hotmail.com
authors.forename: Cihangir
authors.initials: C
authors.lastname: Erem
authors.forename: Fatih
authors.initials: F
authors.lastname: Celik
authors.forename: Abdülkadir
authors.initials: A
authors.lastname: Reis
authors.forename: Arif
authors.initials: A
authors.lastname: Hacihasanoglu
authors.forename: Atilla
authors.initials: A
authors.lastname: Gör
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D000311:Adrenal Glands / Q000503:physiopathology*; D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male