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Case Reports in Surgery
Volume 2018, Article ID 8473231, 6 pages
Case Report

Surgical Management of a Giant Adrenal Pseudocyst: A Case Report and Review of the Literature in the Last Decade

11st Propedeutic Surgical Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
2Department of Radiology, AHEPA University Hospital of Thessaloniki, Thessaloniki, Greece
3Department of Pathology, AHEPA University Hospital of Thessaloniki, Thessaloniki, Greece

Correspondence should be addressed to Petros Bangeas; moc.liamg@saegnabp

Received 13 September 2017; Accepted 27 November 2017; Published 1 February 2018

Academic Editor: Robert Stein

Copyright © 2018 Daniel Paramythiotis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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 entities. Final diagnosis usually confirmed with the pathology examination. Management of such adrenal lesions depends on the unique characteristics, the surgeon’s experience, and local resources.