title: A giant hemorrhagic adrenal pseudocyst: case report.
abstract: OBJECTIVE
  To report a rare case of a giant hemorrhagic adrenal pseudocyst and highlight the importance of this entity to clinicians.
  
  
  METHODS
  A 57-year-old woman presented with a 1-year history of abdominal pain and distension. Ultrasonography and multislice computed tomography revealed a giant cystic (partially solid) mass over the left suprarenal region measuring 20 x 17 x 15 cm. A complete endocrine workup failed to detect any hormonal hypersecretion.
  
  
  METHODS
  The patient was treated with tumor excision through transabdominal pararectal approach. Histopathological examination revealed a hemorrhagic adrenal pseudocyst.
  
  
  CONCLUSIONS
  To our knowledge the case presented here appears to be one of the largest hemorrhagic adrenal pseudocysts reported so far. Radiological and clinical features of the tumor are nonspecific and histopathological examination is essential to establish definitive diagnosis. An open, laparotomic adrenalectomy is the preferred surgical technique for better control of such a large mass with active bleeding inside.
authors.affiliation: Department of Urology, Sestre milosrdnice University Hospital, Zagreb, Croatia. goran.stimac2@zg.htnet.hr
authors.forename: Goran
authors.initials: G
authors.lastname: Stimac
authors.forename: Josip
authors.initials: J
authors.lastname: Katusic
authors.forename: Mario
authors.initials: M
authors.lastname: Sucic
authors.forename: Mario
authors.initials: M
authors.lastname: Ledinsky
authors.forename: Bozo
authors.initials: B
authors.lastname: Kruslin
authors.forename: Davor
authors.initials: D
authors.lastname: Trnski
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D003560:Cysts / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged