Endothelial Cyst of the Left Adrenal Gland in Female Patient Presented as a Cystic Tumor of the Pancreas: A Case Report

Irina Pavlovska ,Nimetula Limani ,Andrej Nikolovski ,Gordana Petrusevka ,Agron Zuferi

doi:10.7176/jhmn/85-06

Abstract

Large adrenal gland cysts represent a rare clinical entity than can be misdiagnosed as pancreatic cystic tumor and eventually change the preoperative plan of the surgeon. Their sex predomination is with female to male ratio of 3:1, occurring mostly in middle aged women and are mostly always unilateral and left-sided in 55% of cases. The treatment for cysts larger than 5 cm in diameter is surgical regardless of the symptoms, due to their potential for malignancy. We present a case of left adrenal gland endothelial cyst primarily presented on CT scan as a cystic tumor of the pancreatic tale. Therefore, even when the proper preoperative imaging tools are used, the diagnosis is not certain and the preoperative plan is changed during the surgery. Keywords: adrenal gland, endothelial cyst. DOI: 10.7176/JHMN/85-06 Publication date: January 31 st 2021

Highlights

Adrenal gland cysts are rare true cystic lesions that were first described by Greiselius in 1670 [1]
CD31 showed high positivity and the final www.iiste.org conclusion from the pathologist corresponded for an endothelial cyst of the adrenal gland (Figure 8-11)
Endothelial cysts of the adrenal glands are present with about 45% of all non-neoplastic lesions of the adrenals [4]

Summary

Introduction

Adrenal gland cysts are rare true cystic lesions that were first described by Greiselius in 1670 [1]. The cysts appear mostly unilateral and around 8-15 % are bilateral They are mostly asymptomatic, nonfunctioning and benign. Can be presented as asymptomatic or can present with acute or chronic pain Another sudden presentation is a cyst rupture [5]. Other cystic lesions of the adrenal gland are pseudocysts (Table 1) [6]. The latest revealed a solitary cystic tumor (around 10 cm in diameter) that, according to the radiologist’s report, seemed to originate from the pancreatic tale (Figures 1-5). CD31 showed high positivity and the final www.iiste.org conclusion from the pathologist corresponded for an endothelial cyst of the adrenal gland (Figure 8-11)

Discussion

Findings

Conclusion