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1

Shanthi, Vissa, Shyam Sundar Rao Byna, and Mohan Rao Nandam. "Giant Adrenal Pseudocyst- A Case Report." International Journal of Research and Review 6, no. 1 (2019): 83–85. https://doi.org/10.5281/zenodo.3984765.

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Adrenal pseudocysts are uncommon lesions which are asymptomatic and have an estimated incidence of 0.064% to 0.18%.Cystic lesions of adrenal may vary from cystic malignant neoplasms to pseudocysts. Adrenal pseudocysts are asymptomatic and are discovered incidentally during radiography or at autopsy. They lack lining epithelium and are surrounded by fibrous tissue. Though the adrenal pseudo cysts have characteristic radiographic appearance, it is difficult to distinguish it from cystic neoplasm of adrenal. We report a case pseudocyst of left adrenal in 30 years female presenting with left lumba
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2

Larabee, Shannon M., Jason S. Radowsky, Guangjing Zhu, John Papadimitriou, and Deborah Stein. "Giant adrenal pseudocyst in trauma patient." Trauma 22, no. 2 (2019): 155–58. http://dx.doi.org/10.1177/1460408619881540.

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Adrenal pseudocysts are a subclass of adrenal cysts frequently found as incidentalomas. Here, we present the case of a 67-year-old man with an adrenal pseudocyst suspicious for hemorrhage after a fall who was urgently transferred to a tertiary care trauma center for care.
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Oussama, JADDI, Rafi Sana, Ijdda Sara, El Mghari Ghizlane, and EL Ansari Nawal. "Adrenal Pseudocyst: Rare Clinical Presentation and Review of the Literature." International Journal of Clinical Science and Medical Research 05, no. 05 (2025): 114–17. https://doi.org/10.5281/zenodo.15373548.

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Abstract Adrenal pseudocysts are rare, non-neoplastic lesions of the adrenal gland, often discovered incidentally during imaging for unrelated reasons. Representing 32–80% of adrenal cysts, they are characterized histologically by a fibrous wall lacking epithelial or endothelial lining. Their etiology is uncertain but frequently linked to intra-adrenal hemorrhage, trauma, or degenerative changes. Most pseudocysts are asymptomatic, but large lesions may cause compressive symptoms or complications such as hemorrhage or rupture. This article presents the case of a 36-year-old woman with rig
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4

Habra, Mouhammed Amir, Barry W. Feig, and Steven G. Waguespack. "Adrenal Pseudocyst." Journal of Clinical Endocrinology & Metabolism 90, no. 5 (2005): 3067–68. http://dx.doi.org/10.1210/jc.2004-2538.

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5

Alaswad, Faris. "Adrenal Pseudocyst, Case Report." Journal of Clinical Surgery and Research 5, no. 4 (2024): 01–05. http://dx.doi.org/10.31579/2768-2757/126.

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Pseudocyst type of adrenal cysts is most common; however, this type of ectopic cyst is quite rare in excessively large adrenal cysts. A35-year-old woman was admitted to our institution with distension of her right flank and the upper quadrant of her abdomen. Abdominal ultrasonography revealed a cystic lesion with a homogenous anechoic texture, and measuring 28 cm in diameter. Computed tomography imaging displayed a giant cystic lesion adjacent to the liver, pancreas, kidney. The origin of the cyst was not identified. We were not able to make a preoperative diagnosis; therefore, the patient und
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6

White, Christopher M., Harvey Greenberg, and Brian R. Davis. "Giant Hemorrhagic Adrenal Pseudocyst in Pregnancy." Donald School Journal of Ultrasound in Obstetrics and Gynecology 8, no. 1 (2014): 105–8. http://dx.doi.org/10.5005/jp-journals-10009-1344.

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ABSTRACT Adrenal cysts are a rare diagnosis, particularly in pregnancy. We report the case of a 32-year-old pregnant woman with an adrenal pseudocyst in her 28th week of pregnancy. This represents the 13th case of an adrenal pseudocyst in pregnancy reported in the literature. The patient presented to our facility complaining of abdominal pain, believing she could be in preterm labor. After further evaluation and surgery, she was diagnosed with a left adrenal pseudocyst. In this report, we will not only describe our case but also discuss the relevance of the findings to what is already present
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7

Sezhian, N., D. Rimal, and G. Suresh. "Adrenal Pseudocyst-Diagnostic Dilemma." Scottish Medical Journal 50, no. 2 (2005): 81. http://dx.doi.org/10.1177/003693300505000214.

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8

Bartlett, David L., Arnold Cohen, Ruby Huttner, and Michael H. Torosian. "Adrenal pseudocyst in pregnancy." Surgery 118, no. 3 (1995): 567–70. http://dx.doi.org/10.1016/s0039-6060(05)80375-7.

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9

Halefoglu, Ahmet Mesrur, Alkin Ercan, Ahmet Yasar, and Elife Sahan. "Giant adrenal hemorrhagic pseudocyst." European Journal of Radiology Extra 63, no. 1 (2007): 35–37. http://dx.doi.org/10.1016/j.ejrex.2007.04.005.

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10

Schrank, Yolanda, and Miguel Madeira. "Massive: Hemorrhagic Adrenal Pseudocyst." American Journal of Medicine 127, no. 9 (2014): 823–25. http://dx.doi.org/10.1016/j.amjmed.2014.04.021.

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11

Solanki, Sanket, Sonia Badwal, Samiran Nundy, and Naimish N. Mehta. "Cystic lesions of the adrenal gland." BMJ Case Reports 16, no. 5 (2023): e254535. http://dx.doi.org/10.1136/bcr-2022-254535.

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Cystic lesions of the adrenal glands are relatively uncommon and most of them are clinically silent. Though rarely associated with malignant changes, they may carry clinically detrimental consequences if misdiagnosed. Cystic adrenal lesions exhibit a broad histomorphological spectrum, ranging from pseudocysts, endothelial cysts, epithelial cysts and parasitic cysts. Here we present the case of a young woman with left-sided abdominal pain and contrast-enhanced CT showing a 10.4×7.7×7.8 cm fluid-filled left suprarenal lesion. The patient underwent exploratory laparotomy with cyst excision, and t
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12

Shettar, Ankit, Prakash Kumar Sasmal, Manas Chalamalasetty Venkata Sai, and Pankaj Kumar. "Laparoscopic excision of a large adrenal pseudocyst: diagnostic dilemma and technical challenges." BMJ Case Reports 15, no. 12 (2022): e251114. http://dx.doi.org/10.1136/bcr-2022-251114.

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A woman in her 40s attended the hospital with worsening left upper abdominal dull aching pain for the past 6 months. Clinical examination and radiological investigations with ultrasonography and contrast-enhanced CT of the abdomen confirmed it to be a cystic lesion of the left adrenal of size 13 cm × 12 cm × 11 cm. With the possibility of an incidental malignancy due to large size, laparoscopic cyst excision meticulously without spillage of cyst content was possible due to preoperative planning. It was a difficult task to mobilise the cyst intact due to the thin wall to prevent accidental rupt
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13

Salemis, Nikolaos S., and Konstantinos Nisotakis. "Giant adrenal pseudocyst: laparoscopic management." ANZ Journal of Surgery 81, no. 3 (2011): 185–86. http://dx.doi.org/10.1111/j.1445-2197.2010.05655.x.

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14

Gupta, V., P. Gupta, and P. Agarwal. "Gastrointestinal: Giant hemorrhagic adrenal pseudocyst." Journal of Gastroenterology and Hepatology 27, no. 1 (2011): 183. http://dx.doi.org/10.1111/j.1440-1746.2011.06955.x.

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15

Amarillo, H. A., M. Bruzoni, M. Loto, G. H. Castagneto, and M. E. Mihura. "Hemorrhagic adrenal pseudocyst: laparoscopic treatment." Surgical Endoscopy 18, no. 10 (2004): 1539. http://dx.doi.org/10.1007/s00464-003-4547-8.

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16

Stimac, Goran, Josip Katusic, Mario Sucic, Mario Ledinsky, Bozo Kruslin, and Davor Trnski. "A Giant Hemorrhagic Adrenal Pseudocyst." Medical Principles and Practice 17, no. 5 (2008): 419–21. http://dx.doi.org/10.1159/000141509.

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17

Aisen, Alex M., Dana A. Ohl, Thomas L. Chenevert, Philip Perkins, and Wesley Mikesell. "MR of an adrenal pseudocyst." Magnetic Resonance Imaging 10, no. 6 (1992): 997–1000. http://dx.doi.org/10.1016/0730-725x(92)90455-9.

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18

Parasar, Kunal, Shantam Mohan, Aaron George John, Jitendra Nigam, Utpal Anand, and Chandan Kumar Jha. "Giant Adrenal Pseudocysts: An Enigma for Surgeons." Surgery Journal 08, no. 01 (2022): e112-e116. http://dx.doi.org/10.1055/s-0042-1744153.

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AbstractAdrenal pseudocysts are cystic lesions arising within the adrenal gland enclosed by a fibrous connective tissue wall that lacks lining cells. They can attain a huge size and pose a diagnostic challenge with a broad range of differentials including benign and malignant neoplasms. There are only a few small case series and case reports describing these lesions. We report a series of five patients who presented with “indeterminate” abdominal cystic lesions and were later on found to have adrenal pseudocyst. Four out of five patients presented with non-specific abdominal symptoms, and one
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19

KUNIZAKI, Chikara, Mitsugi SUGIYAMA, and Shuji TSUCHIYA. "A CASE OF ADRENAL PSEUDOCYST DIFFICULT TO DIFFERENTIATE FROM PANCREATIC PSEUDOCYSTS." Journal of the Japanese Practical Surgeon Society 51, no. 3 (1990): 599–605. http://dx.doi.org/10.3919/ringe1963.51.599.

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20

Azami, Mohamed Amine, Othman Lahbali, Iliass El Alami, El Amine Ratbi, Fouad Zouidia, and Najat Mahassini. "Large Adrenal Pseudocyst: A Case Report." Surgical Science 08, no. 05 (2017): 197–202. http://dx.doi.org/10.4236/ss.2017.85023.

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21

Kar, Mitryan, Ed Pucci, and Fred Brody. "Laparoscopic Resection of an Adrenal Pseudocyst." Journal of Laparoendoscopic & Advanced Surgical Techniques 16, no. 5 (2006): 478–81. http://dx.doi.org/10.1089/lap.2006.16.478.

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22

Johnson, C. Dan, Mark E. Baker, and N. Reed Dunnick. "CT Demonstration of an Adrenal Pseudocyst." Journal of Computer Assisted Tomography 9, no. 4 (1985): 817–19. http://dx.doi.org/10.1097/00004728-198507010-00033.

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23

Haines, Isabel, and Andrew Macallister. "Giant adrenal pseudocyst: A rare diagnosis." Journal of Medical Imaging and Radiation Oncology 62, no. 5 (2018): 665–67. http://dx.doi.org/10.1111/1754-9485.12755.

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24

Martínez Manzano, Álvaro, Elena Romera Barba, Francisco Javier Espinosa López, and Ángel de Paco Navarro. "Calcified Adrenal Pseudocyst: A Rare Pathology." Cirugía Española (English Edition) 95, no. 10 (2017): 612. http://dx.doi.org/10.1016/j.cireng.2017.11.007.

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25

Jain, Praveer, Nootan K. Shukla, Sukanta K. Das, Kusum Kapila, and Manmohan Kapur. "Haemorrhagic adrenal pseudocyst: A case report." Japanese Journal of Surgery 18, no. 1 (1988): 98–100. http://dx.doi.org/10.1007/bf02470853.

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26

Wilkinson, M., D. M. Fanning, J. Moloney, and H. Flood. "Giant adrenal pseudocyst harbouring adrenocortical cancer." Case Reports 2011, sep20 1 (2011): bcr0520114169. http://dx.doi.org/10.1136/bcr.05.2011.4169.

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27

Kato, Tomoyuki, Teruhiro Nakada, Isoji Sasagawa, Hiromasa Yaguchi, Hitoshi Suzuki, and Toshiyuki Yamaguchi. "Cystic Adrenal Mass: Pseudocyst Associated with Hemangioma." Urologia Internationalis 50, no. 1 (1993): 47–50. http://dx.doi.org/10.1159/000282449.

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28

Bovio, S., F. Porpiglia, E. Bollito, et al. "Adrenal pseudocyst mimiking cancer: A case report." Journal of Endocrinological Investigation 30, no. 3 (2007): 256–58. http://dx.doi.org/10.1007/bf03347435.

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29

Laforga, Juan B. M., Alberto Bordallo, and F. Ignacio Ara. "Vascular adrenal pseudocyst: Cytologic and immunohistochemical study." Diagnostic Cytopathology 22, no. 2 (2000): 110–12. http://dx.doi.org/10.1002/(sici)1097-0339(200002)22:2<110::aid-dc11>3.0.co;2-i.

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30

Moonim, Mufaddal T., Alia Nasir, Jonathan Hubbard, Nicholas Ketley, and Paul Fields. "Synchronous Microscopic Epstein-Barr Virus–Positive Diffuse Large B-Cell Lymphoma of the Adrenal and Lymphoplasmacytic Lymphoma: De Novo Disease or Transformation?" International Journal of Surgical Pathology 25, no. 4 (2016): 326–32. http://dx.doi.org/10.1177/1066896916681843.

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Lymphomas arising in the adrenal are rare, and to our knowledge, 2 cases of Epstein-Barr virus (EBV)–positive diffuse large B-cell lymphomas (DLBCL) in an adrenal pseudocyst have been reported. We report an incidental EBV-positive DLBCL arising in an adrenal pseudocyst in a 58-year-old man with a 7-year history of lymphoplasmacytic lymphoma (LPL). The DLBCL was present in the fibrinous exudate, while the LPL resided in the cyst wall. The patient underwent de-roofing of the same cyst 3 years previously; review of histology revealed foci of LPL in the cyst wall, but not of DLBCL. There have been
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31

Gupta, Shalu, Nidhi Gupta, Ghanshyam Khumawat, and Vijeta Tomar. "Adrenal pseudo cyst presenting as retroperitoneal lesion: a rare presentation." International Surgery Journal 10, no. 10 (2023): 1724–26. http://dx.doi.org/10.18203/2349-2902.isj20233006.

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Adrenal pseudocyst are cystic lesions arising from the adrenal gland and do not contain any definitive epithelial lining. These are extremely rare and very few cases are reported, representing 1-2% of adrenal incidentalomas. Patients generally have a non-specific presentation with most patients being asymptomatic and detected incidentally, while others may present with the ensuing mass symptoms in cases of large cysts. Multiple differential diagnosis may be considered for the same. Here we reported the case of a 43 year old female who presented to us with worsening pain abdomen in the left upp
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32

Kodama, Koichi, Yasukazu Takase, Susumu Niikura, Akiko Shimizu, Hiroki Tatsu, and Katsuhiko Saito. "Laparoscopic Management of a Complex Adrenal Cyst." Case Reports in Urology 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/234592.

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Adrenal cysts are rare, and their clinical management remains controversial. We report a case involving an adrenal cyst with a complicated appearance on radiological studies. Unenhanced computed tomography revealed a unilocular, noncalcified, hypoattenuating mass with a thin wall in the left adrenal gland. The lesion gradually increased in size from 10 to 50 mm at two-year follow-up. On contrast-enhanced magnetic resonance imaging, a mural nodule with contrast enhancement was observed. The entire adrenal gland was exciseden blocvia a lateral transperitoneal laparoscopic approach without violat
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33

Nasution, Muhammad Habib Nasution Zulpan, Abdullah Shamshir Abd Mokti, Khaulah Karimah Azni, Nor Fauziah Muhamad Handar, and Masni Mohamad. "SPECTRUM OF ADRENAL INFECTIONS – FROM SOFT TO HARD." Journal of the ASEAN Federation of Endocrine Societies 39, S1 (2024): 22. https://doi.org/10.15605/jafes.039.s1.031.

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INTRODUCTIONAdrenal infections can present in a spectrum from adrenalitis to abscess and calcification. It may either affect the adrenals unilaterally or bilaterally. We present two cases of adrenal infections: a unilateral adrenal abscess following ERCP and a bilateral adrenal calcification due to Histoplasmosis. CASEThe first case is a 54-year-old male, with a history of alcoholism and diabetes, who presented with abdominal pain. Initial CT-abdomen showed chronic pancreatitis with a right adrenal lesion measuring 4.8 cm. ERCP done showed pancreatitis with infected pseudocyst. However, he pre
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34

Al-Husain, Muneera A., and Pravinchandra J. Patel. "Bilateral Adrenal Hemorrhagic Giant Pseudocyst in a Neonate." Annals of Saudi Medicine 9, no. 2 (1989): 212–13. http://dx.doi.org/10.5144/0256-4947.1989.212.

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35

TSUCHIHASHI, Hiroshi, Hisanori SHIOMI, Shigeyuki NAKA, Yoshimasa KURUMI, Tohru TANI, and Mitsuaki ISHIDA. "A CASE OF NON-FUNCTIONING GIANT ADRENAL PSEUDOCYST." Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 70, no. 9 (2009): 2823–27. http://dx.doi.org/10.3919/jjsa.70.2823.

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36

Hsu, Kailin L., A. Alfred Chahine, Bhupender Yadav, Constance R. DiAngelo, Christopher T. Rossi, and Kevin M. Creamer. "Infected adrenal pseudocyst mimicking a duodenal duplication cyst." Journal of Pediatric Surgery Case Reports 53 (February 2020): 101362. http://dx.doi.org/10.1016/j.epsc.2019.101362.

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37

Papaziogas, B., B. Katsikas, K. Psaralexis, et al. "Adrenal Pseudocyst Presenting as Acute Abdomen during Pregnancy." Acta Chirurgica Belgica 106, no. 6 (2006): 722–25. http://dx.doi.org/10.1080/00015458.2006.11679993.

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38

Marwah, Sanjay, Nisha Marwah, Shilpa Garg, and S. K. Mathur. "Adrenal pseudocyst mimicking cystic neoplasm of pancreatic tail." Clinical Journal of Gastroenterology 4, no. 4 (2011): 262–65. http://dx.doi.org/10.1007/s12328-011-0231-z.

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39

Bibi, Mokhtar, Ahmed Sellami, Yassine Ouanes, et al. "A giant hemorrhagic adrenal pseudocyst mimicking hydatid cyst." Urology Case Reports 21 (November 2018): 104–6. http://dx.doi.org/10.1016/j.eucr.2018.09.015.

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40

Farag, Matthew, Dennis Gyomber, and Sam Norden. "​Primary retroperitoneal pseudocyst: beware of the hoax solid enhancing adrenal mass." BMJ Case Reports 12, no. 12 (2019): e232852. http://dx.doi.org/10.1136/bcr-2019-232852.

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​We report the case of a 55-year-old male patient with an incidental finding on CT of a ‘large adrenal mass’. The mass, which was intimately related to the left adrenal, was enhancing but not metabolically active. CT showed a 40×32 mm mass adjacent to the left adrenal and medial border of the spleen, 32 Hounsfield units (HU) precontrast and 116 HU postcontrast, consistent with a solid enhancing mass. The patient had no previous history of acute pancreatitis or any history of trauma. The patient proceeded to a laparoscopic left adrenalectomy; intraoperatively, a well-circumscribed lesion was id
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41

Paramythiotis, Daniel, Petros Bangeas, Anestis Karakatsanis, et al. "Surgical Management of a Giant Adrenal Pseudocyst: A Case Report and Review of the Literature in the Last Decade." Case Reports in Surgery 2018 (2018): 1–6. http://dx.doi.org/10.1155/2018/8473231.

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Adrenal pseudocysts are rare entities and occurred in the 5th and the 6th decades of life. They are discovered accidentally, while appearing with nonspecific clinical and imaging findings. We report a case of a 28-year-old woman presented in our Emergency Department complaining about upper abdomen pain. Computed tomography revealed a hypodense cystic lesion containing hyperdense material. The size of a mass was 11. 7 × 9.3 × 6.6 cm in diameter close to the pancreas, but the origin was from the left adrenal gland. The mass was excised with surgical laparotomy. Giant adrenal pseudocysts are rare
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42

Almahameed, Fadi Bassam, Ashraf ALakkad, Ashraf Saad Meligy, and Osama Bassam Afaneh. "Cystic Lesion of the Adrenal Gland: A Case Report." Journal of Drug Delivery and Therapeutics 14, no. 6 (2024): 3–6. http://dx.doi.org/10.22270/jddt.v14i6.6556.

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Background: Cystic lesions in the adrenal glands are infrequent and unusual occurrences, with only a handful of cases documented thus far. These lesions come in various types, exhibiting diverse origins and sharing similar clinical presentations, ranging from benign to potentially malignant cystic growths. Typically, they do not cause symptoms, but in some rare instances, they may lead to abdominal discomfort or a sense of fullness. Due to their rarity, there is ongoing debate surrounding the most effective approach for managing adrenal cysts. Case Presentation: This case report presents a cas
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43

Salam, Abdus, Muslina Akhter, Zahid Hasan, and Mahfuzul Kabir. "A Giant Adrenal Pseudocyst Presenting With Right Hypochondralgia and Cachexia: A Case Report." Bangladesh Journal of Urology 18, no. 1 (2020): 43–46. http://dx.doi.org/10.3329/bju.v18i1.49251.

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Adrenal cysts are rare clinical condition that can present as abdominal swelling and chronic abdominal pain with weight loss. A 26 year old girl presented to our hospital with a 3 years history of right sided abdominal swelling and cachexia. Ultrasound of the abdomen reaveled a cystic area measuring 20x18 cm below the liver. Computed tomography scan showed a large cystic homogenous mass measuring 20x18x18.5cm in the right hypochondrium with most likely origin from the right adrenal gland. IVU showed left sided kidney was absent and left sided crossed ectopia was present. Both kidney on right s
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44

Angelico, Roberta, Ilaria C. Ciangola, Paolo Mascagni, Tommaso M. Manzia, and Sergio Colizza. "Laparoscopic Adrenalectomy for Hemorrahagic Adrenal Pseudocyst Discovered During Pregnancy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 23, no. 5 (2013): e200-e204. http://dx.doi.org/10.1097/sle.0b013e31828f6663.

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45

Isono, Makoto, Keiichi Ito, Kenji Seguchi, et al. "A Case of Hemorrhagic Adrenal Pseudocyst Mimicking Solid Tumor." American Journal of Case Reports 18 (September 27, 2017): 1034–38. http://dx.doi.org/10.12659/ajcr.905063.

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46

Lee, S. H., B. W. Goodacre, and C. H. Scudamore. "Case report: Unusual appearance of a giant adrenal pseudocyst." Clinical Radiology 43, no. 5 (1991): 349–51. http://dx.doi.org/10.1016/s0009-9260(05)80547-1.

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47

Ujam, Atheer B., Christopher J. Peters, Paul J. Tadrous, John Jeff Webster, Keith Steer, and Alberto Martinez-Isla. "Adrenal pseudocyst: Diagnosis and laparoscopic management – A case report." International Journal of Surgery Case Reports 2, no. 8 (2011): 306–8. http://dx.doi.org/10.1016/j.ijscr.2011.10.002.

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48

Idrees, Sarrah, Manish Gupta, and Rathindra Sarangi. "An acute complication of adrenal pseudocyst – a rare phenomenon." Current Medicine Research and Practice 9, no. 2 (2019): 74–75. http://dx.doi.org/10.1016/j.cmrp.2019.02.003.

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49

Fan, Fang, Paul Pietrow, Luke A. Wilson, Maria Romanas, and Ossama W. Tawfik. "Adrenal pseudocyst: a unique case with adrenal renal fusion, mimicking a cystic renal mass." Annals of Diagnostic Pathology 8, no. 2 (2004): 87–90. http://dx.doi.org/10.1053/j.anndiagpath.2004.01.005.

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50

SUGA, Hidetaka, Akemi INAGAKI, Kimiko Ota, et al. "Adrenal Pseudocyst Mimicking a Pheochromocytoma Found after a Traffic Accident." Internal Medicine 42, no. 1 (2003): 66–71. http://dx.doi.org/10.2169/internalmedicine.42.66.

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