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CC BY 4.0 · Surg J (N Y) 2022; 08(01): e112-e116
DOI: 10.1055/s-0042-1744153
Case Report

Giant Adrenal Pseudocysts: An Enigma for Surgeons

Kunal Parasar 
1   Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, Bihar, India
,
Shantam Mohan
2   Department of Gastroenterology, All India Institute of Medical Sciences, Patna, Bihar, India
3   Department of Gastroenterology, Saroj Madan Gastro and Liver Clinic, Patna, Bihar, India
,
Aaron George John
3   Department of Gastroenterology, Saroj Madan Gastro and Liver Clinic, Patna, Bihar, India
,
Jitendra Nigam
4   Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India
,
Utpal Anand
1   Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, Bihar, India
,
Chandan Kumar Jha 
5   Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
› Author Affiliations Funding None.
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Abstract

Adrenal pseudocysts are cystic lesions arising within the adrenal gland enclosed by a fibrous connective tissue wall that lacks lining cells. They can attain a huge size and pose a diagnostic challenge with a broad range of differentials including benign and malignant neoplasms. There are only a few small case series and case reports describing these lesions. We report a series of five patients who presented with “indeterminate” abdominal cystic lesions and were later on found to have adrenal pseudocyst. Four out of five patients presented with non-specific abdominal symptoms, and one patient presented with symptoms suggestive of a functional adrenal tumor. The size of these tumors ranged from 6 to 30 cm. They had variable radiological features and in two cases even a percutaneous biopsy could not establish the diagnosis. In four of these “indeterminate” abdominal masses, an adrenal origin was not suspected preoperatively. Surgical excision provided a resolution of symptoms, ruled out malignancy, and clinched the diagnosis.

Keywords

adrenal gland - neoplasms - adrenal pseudocyst - abdominal mass


Publication History

Received: 21 February 2021

Accepted: 31 January 2022

Article published online:
03 March 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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