Adrenal cysts are rare, mostly silent clinically and their management remains controversial. Herein, we report a case of adrenal cyst in a young female who was incidentally found to have a cystic lesion of either suprarenal or pancreatic origin by abdominal ultrasonography during workup for her left abdominal pain radiating to back and leg. The computed tomography (CT) revealed a large thin-walled cystic lesion, enhanced on the left suprarenal gland, with eccentric calcification, causing mass effect on the pancreas and left kidney. Laparoscopic surgical exploration was performed and the cystic adrenal mass was excised. The histopathologic diagnosis was mesothelioma. Thus, we discuss the diagnosis and management of adrenal cyst and briefly review the literature.
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