A case of Adrenal Endothelial Cyst in a young female

Abstract

Adrenal cysts are rare, often asymptomatic and non-functional. Here, we discuss the case of a 24-year-old young female who had been experiencing unexplained abdominal heaviness and pain for 6 months’ duration. An almost 5 cm anechoic lesion without a septum was detected by abdominal sonography across the left abdominal region. A 4.8x4.2x4.8cm suprarenal cyst was discovered on abdominal computed tomography (CT) scan displacing the left kidney inferiorly and anteriorly. There was no evidence of hormonal hypersecretion clinically or biochemically. She underwent successful laparoscopic left adrenalectomy, revealing a histopathological diagnosis of an endothelial cyst without any features of malignancy. The postoperative course was uneventful without recurrence during the period of follow-up. Current literature on the management of adrenal cysts is sparse although, personalized management with multidisciplinary team involvement is paramount importan