Cases reported "Adrenal Gland Diseases"

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1/9. Laparoscopic management of a giant adrenal cyst: case report.

    A 22-cm left adrenal cyst in a 30-year-old woman was laparoscopically drained and then excised. The main symptom was dull left-upper-quadrant pain. operative time was 95 minutes, and the hospital stay was 1 day. The patient returned to normal activity 7 days after surgery. histology revealed a benign adrenal cyst. At the 3-month follow-up, ultrasonography showed the absence of any cystic recurrence, and adrenal endocrine function was normal. The advantages and disadvantages of this modality for the management of adrenal gland cysts are discussed.
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2/9. Giant adrenal pseudocyst presenting with gastric outlet obstruction and hypertension.

    Adrenal pseudocysts are rare lesions that are usually nonfunctioning and asymptomatic. We describe a patient who presented with nonspecific upper abdominal pain, vomiting, and hypertension. ultrasonography and computed tomography revealed a giant left adrenal cyst. Routine laboratory tests and endocrine function tests were all normal. The patient underwent surgery, and the cyst was completely removed. Histologic examination showed that the cystic wall consisted of fibrous tissue without an epithelial or endothelial lining, and a diagnosis of an adrenal pseudocyst was made. Symptoms of pyloric obstruction resolved after pseudocyst removal. His blood pressure normalized and he was normotensive and symptom free 6 years after surgery.
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3/9. Giant adrenal cyst presenting as a diagnostic dilemma: a case report.

    Adrenal cysts >10 cm are rare. They generally present as nonspecific abdominal pain and pose a differential diagnostic dilemma to the treating surgeon. A case of a giant adrenal cyst that had presented with abdominal pain and was initially diagnosed as pancreatic pseudocyst is being described here to draw the importance to this entity and to describe the clinical, diagnostic, and therapeutic aspects of the disease.
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4/9. A giant adrenal pseudocyst: case report and review of the literature.

    A 45-year-old woman whose MR images revealed a lobulated, complicated cyst with septations on the superior pole of left kidney underwent retroperitoneoscopic cyst marsupialization. In pathologic examination beneath the atrophic adrenal gland, hyalinized, calcification foci cyst wall without any surrounding epithelium was seen microscopically. It was reported to be "adrenal pseudocyst".
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5/9. Case report: unusual appearance of a giant adrenal pseudocyst.

    Adrenal pseudocysts are uncommon lesions which usually present with abdominal discomfort and swelling due to their large size. The computed tomographic appearances typically demonstrate a smooth thin-walled low attenuation mass with peripheral curvilinear calcification. This case demonstrates the unusual appearances of a pseudocyst with multiple central punctate calcifications as a result of repeated haemorrhage. The radiological appearance of this complex mass mimicked an hydatid cyst. The increase in size of the pseudocyst is demonstrated over a 4 year period.
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6/9. Adrenal cysts--report, review and classification.

    A case of a giant adrenal pseudocyst is reported. The clinico-pathological features are reviewed and a classification is proposed.
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7/9. Benign giant adrenal cyst and parathyroid adenoma: a case report.

    An unusual case of a benign adrenal cyst and a parathyroid adenoma occurring in a 59-year-old man with hypercalcemia is reported. Excretory urography, ultrasound, renal aortography, computerized axial tomography and selective thyroid venous sampling were used to establish a diagnosis. Left adrenalectomy was done because of a suspicion of malignancy, which was followed by excision of a retrolaryngeal parathyroid adenoma.
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8/9. CT demonstration of a giant adrenal endothelial cyst of the angiomatous subtype.

    Adrenal cysts are uncommon lesions with only approximately 300 having been reported to date. Histologically, they are heterogeneous in nature with angiomatous endothelial cysts being quite rare. The computed tomography of a woman with a very large cyst of this variety displayed thin walls with a few septations and foci of soft tissue within. The possibility of a large cystic mass originating from the adrenal gland must be considered in the diagnosis when a large abdominal mass is encountered.
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9/9. Giant adrenal cyst: management and review of the literature.

    The diagnosis of adrenal cysts is becoming increasingly more common with the widespread use of diagnostic imaging modalities. Most adrenal cysts are asymptomatic and less than 10 cm in diameter when discovered incidentally. Symptoms appear when adrenal cysts enlarge sufficiently to cause pain and gastrointestinal disturbances or become palpable. In this report, we present a case of a giant 45-cm right adrenal cyst manifesting as painless abdominal distention in a 23-year-old female. This case appears to be one of the largest adrenal cysts reported to date. The classification and management of adrenal cystic lesions is reviewed.
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