[Adrenal gland cyst]

The authors present a case with a large pseudocyst (20 x 10 x 10 cm.) of the suprarenal gland containing tho liters of clear yellow liquid. It had pushed the right kidney entirely to the left retroperitoneum. On IVU there can be observed a crossed ectopia of the right kidney as well as the shadow of the tumorous formation in the right half of the abdomen. On angiography the right renal artery origins from its normal place, from the right side of aorta, but later it bands medially, crosses aorta over its front side and enters the right kidney, which is now placed under the left kidney. The left renal artery has a normal course. The branches of both arteries inside the kidneys are normal. The right suprarenal artery comes out together with the phrenical artery; it is pushed back in an arc-like form and ramifies over the avascular formation - the cyst. The operation confirmed the diagnosis. The suprarenal gland cyst was removed by a partial resection of the right suprarenal gland and nephropexy of the right kidney to the twelfth rib was done. IVU following the operation demonstrated a normal situation. There are also mentioned the difficulties in classification, pathohistology and pathogenesis of this illness.