Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jun 21, 2009; 15(23): 2923-2926
Published online Jun 21, 2009. doi: 10.3748/wjg.15.2923
Laparoscopic resection of an adrenal pseudocyst mimicking a retroperitoneal mucinous cystic neoplasm
Bum-Soo Kim, Sun-Hyung Joo, Sung-Il Choi, Jeong-Yoon Song
Bum-Soo Kim, Sun-Hyung Joo, Sung-Il Choi, Jeong-Yoon Song, Division of Hepatobiliary Surgery, Department of Surgery, Kyung Hee University College of Medicine and East-West Neo Medical Center, 149 Sangil-dong, Gangdong-gu, Seoul, 134-727, South Korea
Author contributions: Kim BS wrote the paper; Kim BS and Joo SH contributed equally to the paper; Choi SI designed the paper; Song JY edited the figures.
Correspondence to: Sun-Hyung Joo, MD, Division of Hepatobiliary Surgery, Department of Surgery, Kyung Hee University College of Medicine and East-West Neo Medical Center, 149 Sangil-dong, Gangdong-gu, Seoul, 134-727, South Korea. sunhyung@chol.com
Telephone: +82-2-4406135
Fax: +82-2-4406295
Received: March 9, 2009
Revised: May 15, 2009
Accepted: May 22, 2009
Published online: June 21, 2009
Abstract

Adrenal pseudocysts are rare cystic masses that arise within the adrenal gland and are usually non-functional and asymptomatic. Adrenal pseudocysts consist of a fibrous wall without a cellular lining. We report a patient with a 9 cm, left-sided suprarenal cystic mass who presented with abdominal discomfort of 2 years’ duration. A 38-year-old woman was referred to our service for evaluation of abdominal discomfort and gastrointestinal symptoms. Routine laboratory tests were within normal limits. An abdominal computed tomography scan showed a 9 cm × 8 cm × 8 cm well-defined cystic lesion displacing the left kidney. Magnetic resonance imaging showed a cystic lesion with low signal intensity on the T1-weighted image and high signal intensity on the T2-weighted image. A laparoscopic left adrenalectomy was performed to diagnose the lesion. The final pathology showed an adrenal pseudocyst without a cellular lining. The patient had no postoperative complications and she was discharged four days after surgery.

Keywords: Adrenal gland; Pseudocyst; Laparoscopy; Adrenalectomy