Adrenal pseudocyst mimicking a malignant tumor of the adrenal gland, about a case

Abstract

BackgroundAdrenal pseudocysts are exceptional, usually discovered fortuitously. The interest of this work resides in the particularity of this clinical case, because of its rarity, and the diagnostic difficulty that it posed. Moreover, the absence of specific clinical, biological and radiological signs of this adrenal pseudocyst entity which does not represent a usual tumor of the adrenal gland. So, through this case, the epidemiological, diagnostic and therapeutic aspects will be described.Case presentation: Patient of 59 years old, with prior history of high blood pressure well controlled on monotherapy, reports since a year a pain in the right upper abdomen without any other associated signs. The physical examine is normal. Ultrasound and CT done revealed an adrenal mass refouling back closes organs, which was in favor of a malignant tumor of the adrenal gland. Biological examinations did not show any anomalies. The patient underwent an adrenalectomy without any complication. The histopathological analysis reveled the diagnosis of adrenalpseudocyst. Conclusion:As showed without patient, clinical, biological and radiological signs of adrenalpseudocyst are not specific. Only histological examination can confirm the diagnosis and rule out malignancy.