Abstract
We present the case of a patient who had a large pseudocyst in the right adrenal gland, which was ruptured following blunt abdominal trauma, leading to a voluminous hemorrhage in retroperitoneum. A 29-year old female patient was admitted in the emergency room following a fall from stairs with trauma in right flank. She underwent a computerized tomography that evidenced a large retroperitoneal collection, with no apparent renal damage. She was submitted to surgery, where a large ruptured cyst was observed, originating from the upper portion of the right adrenal gland. Cystic diseases of adrenal gland are rare. Highly voluminous cysts can be damaged in cases of blunt trauma to the lumbar region leading to large hematomas in retroperitoneum.
Highlights
Cystic pathologies of the adrenal gland are rare, with an incidence of 0.06% in 1,400 autopsies (1)
The cysts most frequently found in the adrenal gland are endothelial (45%), hematic pseudocyst (39%), epithelial (9%) and parasitic (7%) (2,3)
The objective of this work is to report the case of a female patient who had a voluminous pseudocyst in right adrenal gland that was ruptured following a blunt abdominal trauma, leading to an extensive hemorrhage in retroperitoneum
Summary
Cystic pathologies of the adrenal gland are rare, with an incidence of 0.06% in 1,400 autopsies (1). The cysts most frequently found in the adrenal gland are endothelial (45%), hematic pseudocyst (39%), epithelial (9%) and parasitic (7%) (2,3). The objective of this work is to report the case of a female patient who had a voluminous pseudocyst in right adrenal gland that was ruptured following a blunt abdominal trauma, leading to an extensive hemorrhage in retroperitoneum. She presented intense pain in right flank and a voluminous mass that occupied a large portion of the upper abdominal region.
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