[Vascular adrenal cyst causing difficult to control high blood pressure]

Area of Science:

• Endocrinology
• Urology
• Nephrology

Background:

• Hypertension is a common condition in developed nations.
• Adrenal masses, particularly adrenal cysts, are rare and often asymptomatic incidental findings.
• The incidental nature of adrenal cysts necessitates a multidisciplinary approach for diagnosis and management.

Observation:

• A 72-year-old woman presented with uncontrolled hypertension and an incidentally discovered right retroperitoneal mass.
• Diagnostic workup, including functional and imaging studies, identified the mass as an adrenal cyst contributing to hypertensive symptoms.

Findings:

• The adrenal cyst was diagnosed as the cause of the patient's severe hypertension.
• A literature review was conducted to evaluate diagnostic and therapeutic strategies for adrenal cysts causing hypertension.

Implications:

• Surgical intervention, specifically a right laparoscopic adrenalectomy, resolved the patient's hypertension.
• This case underscores the importance of a multidisciplinary approach for rare diseases like adrenal cysts causing hypertension.
• Laparoscopic adrenalectomy is presented as a viable and effective surgical option.