Introduction: Adrenal gland cysts are relatively rare cystic lesions, which are usually discovered incidentally with the widespread use of radiological imaging techniques.Case report: We reported a clinical case of a 36-year -old woman who presented with a 6 months history of right flank discomfort. The contrast-enhanced abdominal computed tomography revealed a well-circumscribed cystic lesion with a capsule in the Morrison's pouch measuring 57 x 51 mm. On abdominal magnetic resonance imagining (MRI), the cystic lesion exhibited a hypointensity on T-1 weighted images and hyperintensity on T-2 weighted images. Surgery was decided because of lesion size and doubts concerning its etiology. The final histopathological diagnosis was an epithelial cyst of the adrenal gland.In summary, epithelial adrenal cysts are uncommon retroperitoneal lesions. In our case, open adrenalectomy was performed and the prognosis was excellent.
Introduction. Adrenal cavernous hemangiomas are extremely rare non-functioning benign tumors. The majority of adrenal cavernous hemangiomas are diagnosed incidentally after surgery by histopathological examination. Case Report. We report a clinical case of a 57-year-old woman with adrenal cavernous hemangioma. On admission, the patient?s adrenal-related hormones were in the reference range, so adrenal endocrine dysfunction was ruled out. The computed tomography scan revealed a well-circumscribed, round, heterogeneous right adrenal mass (32.3 x 55.4 mm). Iodinated contrast enhanced abdominal computed tomography showed a slight inhomogeneity. In this case, preoperative radiologic findings and absence of signs of local invasion indicated laparoscopic adrenalectomy. The patient underwent right transperitoneal adrenalectomy. Microscopic evaluation showed a sinusoidal dilatation and fibrotic septa, so postoperative diagnosis of adrenal cavernous hemangioma was made. Conclusion. In summary, we reported a case of an incidentally discovered non-functioning adrenal cavernous hemangioma treated by laparoscopic surgery. The diagnosis of adrenal cavernous hemangioma may be challenging, and it is commonly made after surgery, since it is frequently confirmed by histopathological examination.
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