Giant hemorrhagic adrenal pseudocyst in a primiparous pregnancy: report of a case.

Abstract:

:Adrenal cysts are rare and are usually discovered incidentally during diagnostic imaging, surgery, or autopsy. Most cystic lesions of the adrenal gland are nonfunctioning and become symptomatic when complicated by rupture, hemorrhage, or infection. A 40-year-old woman presented with a history of gradual-onset pain in her left flank region at 20 weeks' gestation. Ultrasound showed a 20-cm cystic mass in her left abdominal cavity. Pertinent laboratory tests were within normal limits. The patient underwent exploratory laparotomy, which revealed a 20 × 15-cm left adrenal cyst; thus, we performed left adrenalectomy with complete excision of the cyst. Histological examination confirmed a hemorrhagic adrenal pseudocyst. The patient had an uneventful postoperative course, and subsequent routine obstetric ultrasound examinations showed normal fetal activity and development until the pregnancy terminated with a stillbirth caused by pre-eclampsia at 34 weeks' gestation. To the best of our knowledge, this is only the 12th reported case of adrenal pseudocyst discovered during pregnancy. We analyze the clinicopathologic findings and discuss the possible association of pregnancy, with special reference to etiopathogenesis, presentation, diagnosis, and treatment.

journal_name

Surg Today

journal_title

Surgery today

authors

Karaman K,Teke Z,Dalgic T,Ulas M,Seven MC,Zulfikaroglu E,Sakaogullari Z,Bostanci EB

doi

10.1007/s00595-009-4207-2

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

153-8

issue

1

eissn

0941-1291

issn

1436-2813

journal_volume

41

pub_type

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