Abstract
Introduction: Cysts of the adrenal gland are rare and are usually discovered incidentally, typically presented with abdominal pain or palpable mass. There are four categories of adrenal gland cyst: epithelial, endothelial, parasitic and pseudocysts. We report the case of a 33-year-old woman who presented as a pain of the right hypochondrium and abdominal distention and was diagnosed with a large unilateral adrenal pseudocyst. Case presentation: A 33-year-old Moroccan woman followed for acute articular rheumatism for 3 years was admitted with left hypochondralgia and abdominal distention. Magnetic resonance imaging. (MRI) and abdominal computed tomography revealed a large left adrenal cyst mass measuring 19 cm. The patient underwent surgery, and the cyst was completely removed. Histological examination revealed an adrenal pseudocyst. Symptoms resolved after pseudocyst removal. Conclusion: Adrenal pseudocysts are uncommon. Symptoms are usually related to the size and local pressure effect of the cysts.
Highlights
Cysts of the adrenal gland are rare and are usually discovered incidentally, typically presented with abdominal pain or palpable mass
We report the case of a 33-year-old woman who presented as a pain of the right hypochondrium and abdominal distention and was diagnosed with a large unilateral adrenal pseudocyst
Symptoms are usually related to the size and local pressure effect of the cysts
Summary
These are small lesions discovered incidentally by imaging. There are four categories of adrenal gland cyst: epithelial, endothelial, and parasitic and pseudocysts [1]. Clinical and radiological signs are not specific. Pathological study can confirm the diagnosis and exclude malignancy. The treatment is based on surgery for large or symptomatic cysts. We describe the different epidemiological, clinical, pathological features and treatment of this rare entity
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