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A giant hemorrhagic adrenal pseudocyst: case report
Goran Stimac1, Josip Katusic, Mario Sucic
1Department of Urology, Sestre milosrdnice University Hospital, Zagreb, Croatia. goran.stimac2@zg.htnet.hr
Summary
This report details a rare, giant hemorrhagic adrenal pseudocyst, emphasizing its importance for clinicians. Definitive diagnosis requires histopathology, and open adrenalectomy is recommended for large, bleeding masses.
Area of Science:
- Endocrinology
- Surgical Pathology
- Abdominal Imaging
Background:
- Giant hemorrhagic adrenal pseudocysts are rare adrenal masses.
- Clinical and radiological features are often nonspecific, complicating diagnosis.
Observation:
- A 57-year-old woman presented with a large (20 x 17 x 15 cm) left suprarenal cystic mass.
- Imaging revealed a partially solid cystic mass; endocrine workup was negative for hypersecretion.
Findings:
- Histopathological examination confirmed a hemorrhagic adrenal pseudocyst.
- This case represents one of the largest reported hemorrhagic adrenal pseudocysts.
Implications:
- Accurate diagnosis relies on histopathological examination.
- Open laparotomy adrenalectomy is the preferred surgical approach for large, actively bleeding pseudocysts.
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