Surgical Management of a Giant Adrenal Pseudocyst: A Case Report and Review of the Literature in the Last Decade

• Main Authors: Daniel Paramythiotis, Petros Bangeas, Anestis Karakatsanis, Patroklos Goulas, Irini Nikolaou, Vasileios Rafailidis, Konstantinos Kouskouras, Vasileios Papadopoulos, Sofia Lypiridou, Georgia Karayannopoulou, Antonios Michalopoulos
• Format: Article
• Language: English
• Published: Hindawi Limited 2018-01-01
• Series: Case Reports in Surgery
• Online Access: http://dx.doi.org/10.1155/2018/8473231

Adrenal pseudocysts are rare entities and occurred in the 5th and the 6th decades of life. They are discovered accidentally, while appearing with nonspecific clinical and imaging findings. We report a case of a 28-year-old woman presented in our Emergency Department complaining about upper abdomen pain. Computed tomography revealed a hypodense cystic lesion containing hyperdense material. The size of a mass was 11. 7 × 9.3 × 6.6 cm in diameter close to the pancreas, but the origin was from the left adrenal gland. The mass was excised with surgical laparotomy. Giant adrenal pseudocysts are rare entities. Final diagnosis usually confirmed with the pathology examination. Management of such adrenal lesions depends on the unique characteristics, the surgeon’s experience, and local resources.