[Giant pseudocysts of the adrenal gland. Clinico-pathologic study of 2 cases]

Adrenal pseudocysts are cystic lesions in the gland whose wall has no internal lining to permit a more precise classification. These can develop into very large cysts containing several liters of liquid. They account for almost half of all adrenal cystic lesions in young or middle-aged adults. In 50% of the cases these are incidentally discovered during laparotomy or radiographic evaluation. Its origin is still a controversy. The present study describes the clinical and anatomopathological features of two giant pseudocysts of the adrenal gland. One of the patients was asymptomatic (an IVP incidentally disclosed the presence of a mass). The other case consulted for lumbar pain. Furthermore, the different types of adrenal cysts reported in the literature and the differential diagnosis from other adrenal cystic lesions, mainly tumors and infections, are discussed.