Adrenal pseudocyst: Diagnosis and laparoscopic management - A case report

被引：16
作者：
Ujam, Atheer B. [1 ]
Peters, Christopher J. [1 ]
Tadrous, Paul J. [2 ]
Webster, John Jeff [1 ]
Steer, Keith [3 ]
Martinez-Isla, Alberto [1 ]
机构：
[1] St Marks Northwick Pk Hosp, Dept Surg, London, England
[2] St Marks Northwick Pk Hosp, Dept Pathol, London, England
[3] St Marks Northwick Pk Hosp, Dept Med, London, England
来源：
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2011年 / 2卷 / 08期
关键词：
Adrenal; Pseudocyst; Laparoscopic; Adrenalectomy; Diagnosis;
D O I：
10.1016/j.ijscr.2011.10.002
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Cysts of the adrenal gland are rare and are usually discovered incidentally. Large adrenal cysts can however present with severe abdominal pain and can be complicated by haemorrhage, rupture or infection. Adrenal pseudocysts appear to result from haemorrhage within a normal adrenal gland and can expand to accommodate massive amounts of fluid. We report the case of a 39-year-old woman who presented with worsening right upper quadrant pain. An ultrasound scan of the abdomen confirmed a large 29 cm x 20 cm x 17 cm cyst that appeared to originate in the upper pole of the right kidney causing displacement of the liver and right kidney. Following complete aspiration the cyst re-accumulated and an MRI scan demonstrated a thickened and irregular cyst wall with haemorrhagic fluid. Laparoscopic right adrenalectomy was performed and the histopathological diagnosis was confirmed as an adrenal pseudocyst. (C) 2011 Surgical Associates Ltd. Published by Elsevier Ltd. Open access under CC BY-NC-ND license.
引用
收藏
页码：306 / 308
页数：3
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