Laparoscopic resection of an adrenal pseudocyst mimicking a retroperitoneal mucinous cystic neoplasm.
Adrenal pseudocysts are rare cystic masses that arise within the adrenal gland and are usually non-functional and asymptomatic. Adrenal pseudocysts consist of a fibrous wall without a cellular lining. We report a patient with a 9 cm, left-sided suprarenal cystic mass who presented with abdominal discomfort of 2 years' duration. A 38-year-old woman was referred to our service for evaluation of abdominal discomfort and gastrointestinal symptoms. Routine laboratory tests were within normal limits. An abdominal computed tomography scan showed a 9 cm x 8 cm x 8 cm well-defined cystic lesion displacing the left kidney. Magnetic resonance imaging showed a cystic lesion with low signal intensity on the T1-weighted image and high signal intensity on the T2-weighted image. A laparoscopic left adrenalectomy was performed to diagnose the lesion. The final pathology showed an adrenal pseudocyst without a cellular lining. The patient had no postoperative complications and she was discharged four days after surgery.
Kim
Bum-Soo
BS
Department of Surgery, Division of Hepatobiliary Surgery, Kyung Hee University College of Medicine and East-West Neo Medical Center, Gangdong-gu, Seoul, South Korea.
Joo
Sun-Hyung
SH
Choi
Sung-Il
SI
Song
Jeong-Yoon
JY
D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000601:surgery; D000311:Adrenal Glands / Q000473:pathology / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D003560:Cysts / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000473:pathology