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VOLUME 5 , ISSUE 1 ( January-June, 2020 ) > List of Articles


Adrenal Cyst: An Incidental Finding!

Amruta V Hippalgaonkar, Chaitanya V Bokil

Citation Information : Hippalgaonkar AV, Bokil CV. Adrenal Cyst: An Incidental Finding!. Res Inno Anesth 2020; 5 (1):15-17.

DOI: 10.5005/jp-journals-10049-0083

License: CC BY-NC 4.0

Published Online: 12-04-2021

Copyright Statement:  Copyright © 2020; The Author(s).


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.

  1. Tanuma Y, Kimura M, Sakai S. Adrenal cyst: a review of the Japanese literature and report of a case. Int J Urol 2001;8(9):500–503. DOI: 10.1046/j.1442-2042.2001.00359.x.
  2. Koichi K, Yasukazu T, Susumu N, et al. Laparoscopic management of a complex adrenal cyst. Case Rep Urol 2015;2015:234592.
  3. Huang SP, Chen CC, Li CC, et al. Adrenal cyst – a case report. Kaohsiung J Med Sci 2001;17:156–160.
  4. Reema MA, Nehal G, Sherine Q, et al. Adrenal incidentaloma: anesthetic management, the challenge and the outcome. Anesth Essays Res 2011;5(2):217–223. DOI: 10.4103/0259-1162.94787.
  5. Hevia Suárez M, Abascal Junquera JM, Boix P, et al. Management of adrenal mass: what urologists should know. Actas Urol Esp 2010;34(7):586–591. DOI: 10.1016/j.acuro.2009.11.010.
  6. Lin GB, Xu M, Wang H. Diagnosis and treatment of adrenal cyst: report of 15 cases. Zhonghua Yi Xue Za Zhi 2009;89:409–411.
  7. El-Hefnawy AS, El Garba M, Osman Y, et al. Surgical management of adrenal cysts: single-institution experience. BJU Int 2009;104(6):847–850. DOI: 10.1111/j.1464-410X.2009.08537.x.
  8. Castillo OA, Litvak JP, Kerkebe M, et al. Laparoscopic management of symptomatic and large adrenal cysts. J Urol 2005;173(3):915–917. DOI: 10.1097/01.ju.0000152177.35204.70.
  9. Guerrieri M, De Sanctis A, Crosta F, et al. Adrenal incidentaloma: surgical update. J Endocrinol Invest 2007;30(3):200–204. DOI: 10.1007/BF03347425.
  10. Hung SF, Chung SD, Chueh SC, et al. Laparoscopic management of potentially malignant or complex adrenal cysts abiding by the principles of surgical oncology. J Endourol 2009;23(1):107–113. DOI: 10.1089/end.2008.0436.
  11. Kolańska K, Owecki M, Nikisch E, et al. High prevalence of obesity in patients with non-functioning adrenal incidentalomas. Neuro Endocrinol Lett 2010;31:418–422.
  12. Peppa M, Boutati E, Koliaki C, et al. Insulin resistance and metabolic syndrome in patients with nonfunctioning adrenal incidentalomas: a cause-effect relationship? Metabolism 2010;59(10):1435–1441. DOI: 10.1016/j.metabol.2010.01.007.
  13. Bergamini C, Prosperi P, Bruscino A, et al. Update on the laparoscopic adrenal surgery in the second decade of the century: “doubts no more? G Chir 2010;31:328–331.
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