Giant Adrenal Pseudocysts: An Enigma for Surgeons

Abstract: Adrenal pseudocysts are cystic lesions arising within the adrenal gland enclosed by a fibrous connective tissue wall that lacks lining cells. They can attain a huge size and pose a diagnostic challenge with a broad range of differentials including benign and malignant neoplasms. There are only a few small case series and case reports describing these lesions. We report a series of five patients who presented with “indeterminate” abdominal cystic lesions and were later on found to have adrenal pseudocyst. Four out of five patients presented with non-specific abdominal symptoms, and one patient presented with symptoms suggestive of a functional adrenal tumor. The size of these tumors ranged from 6 to 30 cm. They had variable radiological features and in two cases even a percutaneous biopsy could not establish the diagnosis. In four of these “indeterminate” abdominal masses, an adrenal origin was not suspected preoperatively. Surgical excision provided a resolution of symptoms, ruled out malignancy, and clinched the diagnosis.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Giant Adrenal Pseudocysts: An Enigma for Surgeons ; volume:08 ; number:01 ; year:2022 ; pages:e112-e116 ; The surgery journal ; 08, Heft 01 (2022), e112-e116

Contributors, Places and Time

• Contributor: Parasar, Kunal ; Mohan, Shantam ; John, Aaron George ; Nigam, Jitendra ; Anand, Utpal ; Jha, Chandan Kumar

Further information

• DOI: 10.1055/s-0042-1744153
• URN: urn:nbn:de:101:1-2022042810414820111812
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:28 AM CEST