title: Adrenal pseudocyst: Diagnosis and laparoscopic management - A case report.
abstract: Cysts of the adrenal gland are rare and are usually discovered incidentally. Large adrenal cysts can however present with severe abdominal pain and can be complicated by haemorrhage, rupture or infection. Adrenal pseudocysts appear to result from haemorrhage within a normal adrenal gland and can expand to accommodate massive amounts of fluid.We report the case of a 39-year-old woman who presented with worsening right upper quadrant pain. An ultrasound scan of the abdomen confirmed a large 29 cm × 20 cm × 17 cm cyst that appeared to originate in the upper pole of the right kidney causing displacement of the liver and right kidney.Following complete aspiration the cyst re-accumulated and an MRI scan demonstrated a thickened and irregular cyst wall with haemorrhagic fluid. Laparoscopic right adrenalectomy was performed and the histopathological diagnosis was confirmed as an adrenal pseudocyst.
authors.affiliation: Department of Surgery, St Marks-Northwick Park Hospital, London, UK.
authors.forename: Atheer B
authors.initials: AB
authors.lastname: Ujam
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Peters
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Tadrous
authors.forename: John Jeff
authors.initials: JJ
authors.lastname: Webster
authors.forename: Keith
authors.initials: K
authors.lastname: Steer
authors.forename: Alberto
authors.initials: A
authors.lastname: Martinez-Isla
references.citation: Radiographics. 2004 Oct;24 Suppl 1:S73-86
references.pmid: 15486251
references.citation: Acta Chir Belg. 2006 Nov-Dec;106(6):722-5
references.pmid: 17290707
references.citation: J Laparoendosc Adv Surg Tech A. 2006 Oct;16(5):478-81
references.pmid: 17004872
references.citation: Surg Endosc. 2008 Mar;22(3):617-21
references.pmid: 18071798
references.citation: Curr Urol Rep. 2010 Feb;11(1):44-50
references.pmid: 20425637
references.citation: J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):181-9
references.pmid: 19216698
references.citation: Surgery. 1991 Dec;110(6):1014-21
references.pmid: 1745970
references.citation: Arch Pathol Lab Med. 2006 Nov;130(11):1722-4
references.pmid: 17076539
references.citation: Clin Endocrinol (Oxf). 1997 Jan;46(1):29-37
references.pmid: 9059555
references.citation: Br J Urol. 1990 Jun;65(6):570-5
references.pmid: 2372669
references.citation: World J Gastroenterol. 2009 Jun 21;15(23):2923-6
references.pmid: 19533819
references.citation: Int Urol Nephrol. 2006;38(1):167-9
references.pmid: 16502076
references.citation: Urol J. 2009 Fall;6(4):254-9
references.pmid: 20027553
references.citation: Ann Surg Oncol. 2010 Mar;17(3):846-52
references.pmid: 19960266
references.citation: Eur Radiol. 2003 Mar;13(3):531-5
references.pmid: 12594556