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[Hemorrhagic adrenal pseudocyst: case report].

G Basile1, A Buffone, G Cicciarella

  • 1Ospedale Vittorio Emanuele, Catania, Dipartimento di Chirurgia-Sezione di Chirurgia d'Urgenza e Generale, Unità Operativa di Chirurgia d'Urgenza.

Annali Italiani Di Chirurgia
|March 10, 2005
PubMed
Summary

Hemorrhagic adrenal pseudocysts can present as incidentalomas or cause acute anemia due to intracystic hemorrhage. Diagnosis requires advanced imaging and biopsy, with surgery often necessary for treatment.

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Area of Science:

  • Adrenal gland pathology
  • Diagnostic imaging
  • Surgical interventions

Background:

  • Adrenal cysts are typically asymptomatic incidentalomas found during imaging.
  • Epithelial cysts and pseudocysts are common adrenal cyst types.
  • Intracystic hemorrhage is a known complication of adrenal pseudocysts.

Observation:

  • A young woman presented with abdominal pain, fever, and acute anemia.
  • Imaging revealed a 10 cm mass between the liver and right kidney.
  • CT-guided biopsy confirmed a hemorrhagic adrenal pseudocyst.

Findings:

  • Adrenal cysts can mimic masses of adjacent organs (kidney, liver, gallbladder).
  • Ultrasound and CT scans may be insufficient for definitive diagnosis.
  • Advanced imaging (MRI, urography) and biopsy are crucial for diagnosis.

Related Experiment Videos

  • Intracystic hemorrhage can lead to acute anemia, necessitating surgical intervention.

    • Implications:

    • Prompt diagnosis and surgical management are vital for patients with hemorrhagic adrenal pseudocysts.
    • Laparoscopic adrenalectomy may be insufficient for large, actively bleeding cysts.
    • Open laparotomy is often required for safe and effective adrenalectomy in such cases.