Laparoscopic resection of a giant adrenal cyst: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20251911Keywords:
Adrenal cyst, Endothelial cyst, Diagnosis of adrenal cysts, LaparoscopyAbstract
Giant adrenal cysts, often discovered incidentally, are rare lesions. This case report details a patient who had many symptoms, including nonspecific abdominal distension. Imaging tests showed a large cystic growth that was closely connected to the left adrenal gland. No abnormalities were found in routine laboratory and endocrine function tests. Laparoscopic surgery was used, and the cystic mass was entirely removed. Upon pathological inspection, an endothelial structure with vascular components was found in the cyst wall. After extensive evaluation, the lesion was determined to be an angiomatous adrenal endothelial cyst, a very uncommon type of adrenal cyst. This case report aimed to increase awareness of this rare condition.
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Dogra P, Rivera M, McKenzie TJ, Foster TR, Dy BM, Lyden ML, et al. Clinical course and imaging characteristics of benign adrenal cysts: a single-center study of 92 patients. Eur J Endocrinol. 2022;187(3):429-37. DOI: https://doi.org/10.1530/EJE-22-0285
Solanki S, Badwal S, Nundy S, Mehta NN. Cystic lesions of the adrenal gland. BMJ Case Rep. 2023;16(5):e254535. DOI: https://doi.org/10.1136/bcr-2022-254535
Lockhart ME, Smith JK, Kenney PJ. Imaging of adrenal masses. Eur J Radiol. 2002;41(2):95-112. DOI: https://doi.org/10.1016/S0720-048X(01)00444-2
Nasir M, Rabbani RA, Hamdullah H, Qadri HM. Giant adrenal gland pseudo-cyst: a case report with literature review. J Pak Med Assoc. 2023;73(6):1317-9. DOI: https://doi.org/10.47391/JPMA.6896
Cavallaro G, Crocetti D, Paliotta A, De Gori A, Tarallo MR, Letizia C, et al. Cystic adrenal lesions: Clinical and surgical management. The experience of a referral centre. Int J Surg. 2015;13:23-6. DOI: https://doi.org/10.1016/j.ijsu.2014.11.023
Salemis NS, Nisotakis K. Giant adrenal pseudocyst: Laparoscopic management. ANZ J Surg. 2011;81(3):185-6. DOI: https://doi.org/10.1111/j.1445-2197.2010.05655.x
Ebbehoj A, Li D, Kaur RJ, Zhang C, Singh S, Li T, et al. Epidemiology of adrenal tumours in Olmsted County, Minnesota, USA: a population-based cohort study. Lancet Diabetes Endocrinol. 2020;8(11):894-902. DOI: https://doi.org/10.1016/S2213-8587(20)30314-4
Ichijo T, Ueshiba H, Nawata H, Yanase T. A nationwide survey of adrenal incidentalomas in Japan: The first report of clinical and epidemiological features. Endocr J. 2020;67(2):141-52. DOI: https://doi.org/10.1507/endocrj.EJ18-0486
Mahmoudi A, Maâtouk M, Noomen F, Nasr M, Zouari K, Hamdi A. Adrenal Hydatid Cyst: A Case Report. Pan Afr Med J. 2016;22:1. DOI: https://doi.org/10.11604/pamj.2015.22.249.8114
Koksoy FN, Yucel O, Celik A, Igdem AA. Laparoscopic management of a giant adrenal cyst: case report. Surg Laparosc Endosc Percutan Tech. 2001;11(6):379-81. DOI: https://doi.org/10.1097/00129689-200112000-00009
Zielinski J, Haponiuk I, Jaworski R, Peksa R, Irga-Jaworska N, Jaskiewicz J. Retroperitoneal tumor: Giant cavernous hemangioma - Case presentation and literature review. Kardiochirurgia i Torakochirurgia Polska. 2016;13(4):375-9. DOI: https://doi.org/10.5114/kitp.2016.64889
Chaabouni A, Samet A, Harbi H, Fourati M, Rebai N, Hadjslimene M. A case of a giant adrenal cyst. Urol Case Rep. 2021;38. DOI: https://doi.org/10.1016/j.eucr.2021.101725
Furihata M, Iida Y, Furihata T, Ito E. A giant lymphatic cyst of the adrenal gland: Report of a rare case and review of the literature. Int Surg. 2015;100(1):2-8. DOI: https://doi.org/10.9738/INTSURG-D-14-00125.1
Barron SH, Emanuel B. Adrenal cyst. A case report and a review of the pediatric literature. J Pediatr. 1961;59(4):592-9. DOI: https://doi.org/10.1016/S0022-3476(61)80244-8
Ali Z, Tariq H, Rehman U. Endothelial cysts of adre-nal gland. J Coll Phys Surg Pak. 2019;29(6):16-7. DOI: https://doi.org/10.29271/jcpsp.2019.06.S16
Goel D, Enny L, Rana C, Ramakant P, Singh K, Babu S, et al. Cystic adrenal lesions: A report of five cases. Cancer Rep (Hoboken). 2021;4(1):e1314. DOI: https://doi.org/10.1002/cnr2.1314
Improta L, Tzanis D, Bouhadiba T, Abdelhafidh K, Bonvalot S. Overview of primary adult retroperitoneal tumours. Eur J Surg Oncol. 2020;46(9):1573-9. DOI: https://doi.org/10.1016/j.ejso.2020.04.054
Wu MJ, Shih MH, Chen CL, Meng E. A 15-Year Change of an Adrenal Endothelial Cyst. Am J Case Rep. 2022;23:e935053-1. DOI: https://doi.org/10.12659/AJCR.935053
Hatzidakis A, Kozana A, Petrakis I, Mamoulakis C. Postsurgical large adrenal cyst recurrence: treatment by means of percutaneous alcohol ablation. BMJ Case Rep. 2014;2014:bcr2014206962. DOI: https://doi.org/10.1136/bcr-2014-206962