Giant adrenal cyst displacing the right kidney

Chodisetti, Subbarao; Boddepalli, Yogesh; Kota, M.

doi:10.4103/0970-1591.173119

Cited by 5 publications

(2 citation statements)

References 5 publications

(7 reference statements)

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“…Cystic lesions of the adrenal gland are infrequent entities. Few cases have been reported worldwide, only as case reports or series 1 2 3 . Adrenal cysts are usually an incidental finding and represent approximately less than 1 % of incidentally discovered adrenal lesions 1 .…”

Section: Introductionmentioning

confidence: 99%

Large adrenal cyst masquerading as a pancreatic cystic tumor: a rare diagnosis based on endoscopic ultrasound

et al. 2018

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Adrenal cystic lesions constitute a rare finding and usually are diagnosed incidentally as retroperitoneal cysts during imaging studies. A major issue, especially for the large-sized ones, is their preoperative diagnosis and management, as imaging modalities often fail to detect their exact origin prior to surgery. We report a case of a big adrenal cyst that was mistakenly diagnosed and followed up as pancreatic cystic tail tumor. Our thorough workup, which included endoscopic ultrasound (EUS), managed to delineate an adrenal gland-originated cyst and altered further management of the patient. According to our knowledge, this is the first report in literature in which EUS proved its superiority over other imaging studies in clarifying the origin of an ambiguous big retroperitoneal cyst. We believe that for cases of large retroperitoneal cystic lesions, EUS consists the optimal diagnostic and sampling tool.

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Section: Introductionmentioning

confidence: 99%

Large adrenal cyst masquerading as a pancreatic cystic tumor: a rare diagnosis based on endoscopic ultrasound

et al. 2018

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“…Generally, the cyst early discovery and good prognosis is related to the tumor/lesion size; patients’ age and pubertal development; the presence of abdominal pain, the palpable mass or lump and potentially hormonal dysfunction (with or without genetic background) [ 76 ]. The complications are: bleeding into the cyst; local pressure effects; cyst infection; rupture of the cyst (including post-traumatic cyst rupture); arterial hypertension due to renal vessels compression [ 77 , 78 ].…”

Section: Evaluation Of Adrenal Cystsmentioning

confidence: 99%

Cystic adrenal lesions: focus on pediatric population (a review)

Cârșote

Ghemigian

Terzea

et al. 2017

Medicine and Pharmacy Reports

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Background and aimThe cysts may potentially affect any organ; adrenals cysts are rare. This is a review of the literature regarding adrenal cysts, focusing on children and young adults.General dataThree major types have been described: pure cysts (endothelial, epithelial, and hemorrhagic or pseudocyst), parasitic (as hydatid) cysts and cystic part of a tumour (most frequent are neuroblastoma, ganglioneuroma, pheocromocytoma, and teratoma). The complications are: bleeding, local pressure effects; infection; rupture (including post-traumatic); arterial hypertension due to renal vessels compression. Adrenal hemorrhage represents a particular condition associating precipitating factors such as: coagulation defects as Factor IX or X deficiency, von Willebrand disease, thrombocytopenia; antiphospholipid syndrome; previous therapy with clopidogrel or corticosteroids; the rupture of a prior tumour. At birth, the most suggestive features are abdominal palpable mass, anemia, and persistent jaundice. Adrenal insufficiency may be found especially in premature delivery. The hemorrhage is mostly self-limiting. Antenatal ultrasound diagnosis of a cyst does not always predict the exact pathology result. The most important differential diagnosis of adrenal hemorrhage/hemorrhagic cyst is cystic neuroblastoma which is highly suggestive in the presence of distant metastases and abnormal catecholamine profile. The major clue to differentiate the two conditions is the fact that the tumor is stable or increases over time while the adrenal hemorrhage is expected to remit within one to two weeks.ConclusionPediatric adrenal cysts vary from simple cysts with a benign behavior to neoplasia- related lesions displaying severe prognosis as seen in cystic neuroblastoma. A multidisciplinary team is required for their management which is conservative as close follow-up or it makes necessary different surgical procedures in cases with large masses or if a malignancy suspicion is presented. Recently, laparoscopic approach is regarded as a safe procedure by some authors but generally, open surgery is more frequent used compare to adults; in most cases the preservation of normal gland is advisable.

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Simultaneous peritoneal and retroperitoneal splenosis mimics metastatic right adrenal mass

Hashem

Elbaset

Zahran

et al. 2018

International Journal of Surgery Case Reports

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Giant adrenal cyst displacing the right kidney

Abstract: Adrenal cysts are rare and should be considered in the differential diagnosis of retroperitoneal cysts. We present a case of a huge adrenal cyst displacing the right kidney anteriorly toward the left side in a young female.

Cited by 5 publications

References 5 publications

Large adrenal cyst masquerading as a pancreatic cystic tumor: a rare diagnosis based on endoscopic ultrasound

Large adrenal cyst masquerading as a pancreatic cystic tumor: a rare diagnosis based on endoscopic ultrasound

Cystic adrenal lesions: focus on pediatric population (a review)

Simultaneous peritoneal and retroperitoneal splenosis mimics metastatic right adrenal mass

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