Cystic Lesion of the Adrenal Gland: A Case Report

  • Fadi Bassam Almahameed Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE
  • Ashraf ALakkad Department of Internal Medicine, Madinat Zayed Hospital, AL Dhafra Region, UAE https://orcid.org/0000-0002-4083-2800
  • Ashraf Saad Meligy Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE
  • Osama Bassam Afaneh Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

Abstract

Background: Cystic lesions in the adrenal glands are infrequent and unusual occurrences, with only a handful of cases documented thus far. These lesions come in various types, exhibiting diverse origins and sharing similar clinical presentations, ranging from benign to potentially malignant cystic growths. Typically, they do not cause symptoms, but in some rare instances, they may lead to abdominal discomfort or a sense of fullness. Due to their rarity, there is ongoing debate surrounding the most effective approach for managing adrenal cysts.


Case Presentation: This case report presents a case of a 36-year-old female who presented with a history of abdominal pain and was incidentally found to have a right adrenal cyst during a CT scan. She exhibited no additional symptoms, such as hypertension, headache, or palpitations. Laparoscopic right adrenalectomy was performed, successfully removing the cystic mass without complications. Preoperative laboratory tests, including endocrine function tests, were unremarkable. Imaging studies, including ultrasound and contrast-enhanced CT, characterized the cyst as a large, well-circumscribed, low-attenuated structure with peripheral calcifications, distinct from the right suprarenal gland. Gross examination revealed a collapsed cyst measuring 7 x 3 cm with a smooth inner wall, and the right adrenal gland measured 4 x 2.5 cm. The histological analysis identified the lesion as an adrenal pseudocyst with a fibrous wall containing focal dystrophic microcalcifications and embedded adrenocortical cells. No endothelial lining, eosinophils, or parasites were present. The patient's postoperative course was uneventful, and she was discharged in stable condition the following day.


Conclusion: This case demonstrates the effective management of a large adrenal pseudocyst through laparoscopic adrenalectomy, resulting in a successful outcome without complications. Comprehensive imaging and histopathological evaluation were crucial in confirming the diagnosis and guiding treatment.


Keywords: Adrenal disorders, Adrenal cyst, Endocrine cancer, Surgery

Keywords: Adrenal disorders, Adrenal cyst, Endocrine cancer, Surgery

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Author Biographies

Fadi Bassam Almahameed, Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

Ashraf ALakkad, Department of Internal Medicine, Madinat Zayed Hospital, AL Dhafra Region, UAE

Department of Internal Medicine, Madinat Zayed Hospital, AL Dhafra Region, UAE

Ashraf Saad Meligy, Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

Osama Bassam Afaneh, Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

Department of General Surgery, Madinat Zayed Hospital, AL Dhafra Region, UAE

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Almahameed FB, ALakkad A, Meligy AS, Afaneh OB. Cystic Lesion of the Adrenal Gland: A Case Report. JDDT [Internet]. 15Jun.2024 [cited 17Jul.2024];14(6):3-. Available from: https://jddtonline.info/index.php/jddt/article/view/6556