Document Detail

Giant hemorrhagic adrenal pseudocyst in a primiparous pregnancy: report of a case.
MedLine Citation:
PMID:  21191710     Owner:  NLM     Status:  MEDLINE    
Adrenal cysts are rare and are usually discovered incidentally during diagnostic imaging, surgery, or autopsy. Most cystic lesions of the adrenal gland are nonfunctioning and become symptomatic when complicated by rupture, hemorrhage, or infection. A 40-year-old woman presented with a history of gradual-onset pain in her left flank region at 20 weeks' gestation. Ultrasound showed a 20-cm cystic mass in her left abdominal cavity. Pertinent laboratory tests were within normal limits. The patient underwent exploratory laparotomy, which revealed a 20 × 15-cm left adrenal cyst; thus, we performed left adrenalectomy with complete excision of the cyst. Histological examination confirmed a hemorrhagic adrenal pseudocyst. The patient had an uneventful postoperative course, and subsequent routine obstetric ultrasound examinations showed normal fetal activity and development until the pregnancy terminated with a stillbirth caused by pre-eclampsia at 34 weeks' gestation. To the best of our knowledge, this is only the 12th reported case of adrenal pseudocyst discovered during pregnancy. We analyze the clinicopathologic findings and discuss the possible association of pregnancy, with special reference to etiopathogenesis, presentation, diagnosis, and treatment.
Kerem Karaman; Zafer Teke; Tahsin Dalgic; Murat Ulas; M Canbek Seven; Ebru Zulfikaroglu; Zisan Sakaogullari; E Birol Bostanci
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-12-30
Journal Detail:
Title:  Surgery today     Volume:  41     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-30     Completed Date:  2011-07-26     Revised Date:  2011-09-19    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  153-8     Citation Subset:  IM    
Department of Gastroenterological Surgery, Turkiye Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
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MeSH Terms
Adrenal Gland Diseases / complications,  pathology*,  surgery*
Cysts / complications,  pathology*,  surgery*
Hemorrhage / complications,  pathology*,  surgery
Pregnancy Complications / etiology,  pathology*,  surgery

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