Adrenal simple cyst in a young female patient: A case report

Authors

  • Eshraghi, Mohsen Department of Surgery, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
  • Kachoie, Ahmad Department of Surgery, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
  • Rahimi, Shima Student Research Committee of Qom University of Medical Sciences, Qom, Iran
Abstract:

Introduction: Adrenal gland cysts with variable symptoms are rare cases of over-kidney clinical conditions. Adrenal cysts are accidentally identified, which is referred to as incidentaloma. Adrenal cysts are non-specific and show radiological findings and Detection of these cysts is usually random. In this article,  a patient with a simple adrenal cyst is introduced Case presentation: The patient is a 33-year-old woman with a severe abdominal complaint, especially in the upper and lower abdomen, which began one day before the visit. The patient also mentioned three vomiting episodes. CT scan of a multicellular cystic mass in the upper left abdomen was observed with calcified nodules near the pancreatic tail, which, according to the radiologist, suggested a possible false cysts of the pancreas. With the diagnosis of adrenal mass, surgery was performed and symptoms were resolved after surgery. Results: Undoubtedly, the current elimination of the mass of the current treatment and the laparoscopic adrenalectomy, if available, is the golden standard. This was a simple adrenal cyst, which was associated with non-specific digestive symptoms. Preoperative diagnosis was performed by CT and ultrasound. A laparoscopic adrenalectomy was performed without complications. Pathology was a simple adrenal cyst. However, when managing an adrenal cyst, adrenocarcinoma and cystic pheochromocytoma should be considered before surgery Conclusion: Although the prevalence of adrenal cysts is rare, intervention is necessary if they are large (size>4), symptomatic, functional, and potentially malignant. Laparoscopic management of these cysts in the form of decoration / extension, safe, effective, with minimal invasion, minimal blood loss and shorter hospital stay.  

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Journal title

volume 7  issue None

pages  361- 365

publication date 2020-06

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