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Adrenal endothelial cyst with massive central calcification.

S Hirota1, T Fukuda, S Matsumoto

  • 1Department of Radiology, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan 650.

Abdominal Imaging
|September 4, 1999
PubMed
Summary

This study reports a rare adrenal endothelial cyst case found incidentally. The angiomatous cyst presented with calcification and intracystic hemorrhage, requiring surgical removal.

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Area of Science:

  • Endocrinology
  • Surgical Pathology
  • Radiology

Background:

  • Adrenal endothelial cysts are rare benign adrenal tumors.
  • Incidental findings of adrenal masses are common in clinical practice.

Observation:

  • A 55-year-old woman presented with abdominal pain, leading to the incidental discovery of an adrenal mass.
  • Computed tomography revealed massive central calcification and a fluid-fluid level indicative of intracystic hemorrhage.
  • Magnetic resonance imaging demonstrated an intracystic papillary component with calcification.

Findings:

  • Surgical resection confirmed the adrenal mass as an angiomatous type of adrenal endothelial cyst.
  • The imaging findings correlated with the final histopathological diagnosis.

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Implications:

  • This case highlights the importance of thorough radiological evaluation for incidentally detected adrenal masses.
  • Understanding the imaging characteristics of adrenal endothelial cysts aids in accurate diagnosis and management.
  • Angiomatous endothelial cysts, though rare, should be considered in the differential diagnosis of adrenal tumors with calcification and hemorrhage.