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[Bilateral adrenal cysts and hepatorenal polycystic disease]
C Bastide1, L Boyer, N Djellouli
1Service de Radiologie, CHU Gabriel Montpied, Clermont-Ferrand.
Background:
Cyst formation may occur in many localization in patients with polycystic renal disease. Adrenal gland cysts have not previously been reported.
Case Report:
Hepatorenal polycystic disease was diagnosed in a 38-year-old man who underwent abdominal ultrasound examination for acute back pain. Subsequent computed tomography evidenced several cysts in both adrenal glands.
Discussion:
Incidental discovery of cysts in the adrenal glands accounts for 4 to 22% of all cyst formations in this organ. Four types of cysts are observed: parasite cysts, epithelial cysts and adenomas, pseudocysts, and endothelial cysts. Appropriate treatment depends on the size of the cyst, the etiology context, and clinical manifestations. Treatment is indicated in case of symptomatic disease or when the ultrasound or CT-scan aspect is atypical.