Giant Adrenal Cyst: A Case Report

Yu, Nengfeng; Du, Jiaqi; Zheng, Gangfu; Zheng, Yong

doi:10.7759/cureus.37086

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…Another study reported a case of a 31×17×16 cm giant unilocular cystic lesion closely attached to the left adrenal gland [17]. Due to the huge volume and the risk of malignancy, they did an open excision and the final histopathology confirmed it as an angiomatous adrenal endothelial cyst.…”

Section: Discussionmentioning

confidence: 99%

Curious Case of a Giant Retroperitoneal Cyst

Surani,

Chatterjee,

Jaggi

et al. 2024

Cureus

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Adrenal cysts are uncommon fluid-filled masses that develop in the adrenal gland. Typically, they are non-functional, asymptomatic, and smaller than 10 cm in diameter when incidentally detected. However, the presence of giant adrenal cysts, exceeding 10 cm in diameter, creates a diagnostic challenge due to the difficulty in determining their origin. Surgical intervention is advised when the cyst surpasses 10 cm in diameter, produces symptoms, causes endocrine abnormalities, exhibits intracystic bleeding, or raises suspicion of malignancy. The preferred treatment approach involves adrenalectomy, performed either through open surgery or laparoscopy. In cases where the diagnosis is unequivocal, ultrasound-guided percutaneous drainage serves as an alternative. Here, we present an exceptional case of a massive retroperitoneal mass caused by a rare giant adrenal cyst.

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Section: Discussionmentioning

confidence: 99%

Curious Case of a Giant Retroperitoneal Cyst

Surani,

Chatterjee,

Jaggi

et al. 2024

Cureus

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“…Even if these patients recover well and have an uncomplicated postoperative period, repeat CT scans should be performed every six months for a minimum of 18 months 18 . For patients who are not surgical candidates, aspiration of the cyst may be a viable option instead of surgery 19 . In addition to surgery, decortication and marsupialization have also been considered as alternatives for treating big cysts, particularly those that are attached to many ISSN: 2250-1177 [6] CODEN (USA): JDDTAO organs and may be challenging to remove 19 .…”

Section: Discussionmentioning

confidence: 99%

“…For patients who are not surgical candidates, aspiration of the cyst may be a viable option instead of surgery 19 . In addition to surgery, decortication and marsupialization have also been considered as alternatives for treating big cysts, particularly those that are attached to many ISSN: 2250-1177 [6] CODEN (USA): JDDTAO organs and may be challenging to remove 19 . Although absolute alcohol-based sclerosing therapy has also been reported, it is linked to a 30% to 50% high recurrence rate 20 .…”

Section: Discussionmentioning

confidence: 99%

Cystic Lesion of the Adrenal Gland: A Case Report

Almahameed,

ALakkad,

Meligy

et al. 2024

J. Drug Delivery Ther.

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Background: Cystic lesions in the adrenal glands are infrequent and unusual occurrences, with only a handful of cases documented thus far. These lesions come in various types, exhibiting diverse origins and sharing similar clinical presentations, ranging from benign to potentially malignant cystic growths. Typically, they do not cause symptoms, but in some rare instances, they may lead to abdominal discomfort or a sense of fullness. Due to their rarity, there is ongoing debate surrounding the most effective approach for managing adrenal cysts. Case Presentation: This case report presents a case of a 36-year-old female who presented with a history of abdominal pain and was incidentally found to have a right adrenal cyst during a CT scan. She exhibited no additional symptoms, such as hypertension, headache, or palpitations. Laparoscopic right adrenalectomy was performed, successfully removing the cystic mass without complications. Preoperative laboratory tests, including endocrine function tests, were unremarkable. Imaging studies, including ultrasound and contrast-enhanced CT, characterized the cyst as a large, well-circumscribed, low-attenuated structure with peripheral calcifications, distinct from the right suprarenal gland. Gross examination revealed a collapsed cyst measuring 7 x 3 cm with a smooth inner wall, and the right adrenal gland measured 4 x 2.5 cm. The histological analysis identified the lesion as an adrenal pseudocyst with a fibrous wall containing focal dystrophic microcalcifications and embedded adrenocortical cells. No endothelial lining, eosinophils, or parasites were present. The patient's postoperative course was uneventful, and she was discharged in stable condition the following day. Conclusion: This case demonstrates the effective management of a large adrenal pseudocyst through laparoscopic adrenalectomy, resulting in a successful outcome without complications. Comprehensive imaging and histopathological evaluation were crucial in confirming the diagnosis and guiding treatment. Keywords: Adrenal disorders, Adrenal cyst, Endocrine cancer, Surgery

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Giant Adrenal Cyst: A Case Report

Cited by 2 publications

References 17 publications

Curious Case of a Giant Retroperitoneal Cyst

Curious Case of a Giant Retroperitoneal Cyst

Cystic Lesion of the Adrenal Gland: A Case Report

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