Downloads: 1 | Views: 91 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Case Studies | General Surgery | India | Volume 12 Issue 5, May 2023
A Large Adrenal Hemorrhagic Cyst: A Case Report
Pradeep Kumar Gupta [3] | Dinesh Choudhary
Abstract: Introduction: Cystic lesions of adrenal gland are rare. They are usually asymptomatic or may rarely present with abdominal pain or fullness. Optimum management of adrenal cysts still remain controversial. Small cystic adrenal tumors can be managed conservatively by laparoscopic decortication or marsupialization, but larger cysts should be treated by total or partial adrenalectomy. Case Report: A 31 Year old female admitted with history of abdomen pain in right lumber region. On examination pallor present, Approximately 12x10 cm lump was palpable in right lumber region. CECT ABDOMEN AND PELVIS suggestive of cystic lesion in right suprarenal location? adrenal cyst ?cystic pheochromocytoma.24 hour urine metanephrine was 0.12mg/24h and VMA was 3.5 mg/24h. Patient was operated with right adrenal cyst excision. Intraoperatively, approx.20x15 cm right adrenal hemorrhagic cyst was found which was adherent to adjacent structure. Patient was discharge with full recovery. Discussion: Incidence of adrenal cyst ranging from 0.064 to 0.18%. They are usually asymptomatic and are discovered incidentally. Terrier and Lecene in 1906 first classified adrenal cysts into hemorrhagic, endothelial, congenital retention, cystic adenomas, and parasitic types. Ultrasonography, CT, and MRI studies have been very effective in recognizing cystic lesion. Biopsies or surgery are usually performed to rule out malignancy. Management of adrenal cysts are open or minimally invasive. Conservative management is for patients with uncomplicated/asymptomatic cysts <5 cm. The limitation of our study may seem to be lesser number of case. Conclusion: Preoperative evaluation plays an important role to rule out other differential diagnosis. Proper investigation including CT or MRI is essential for defining adrenal cystic lesion and differentiating from cystic lesion of adjacent organs Surgery is the treatment of choice in symptomatic cases as well asymptomatic cases with a large diameter or increasing dimensions during follow - up or with any anomaly of adrenal hormones.
Keywords: Adrenal Hemorrhagic Cyst, Case Report, Adrenal Gland, Cystic Lesion, Adrenalectomy
Edition: Volume 12 Issue 5, May 2023,
Pages: 2554 - 2555