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Case Reports in Urology
Volume 2015 (2015), Article ID 234592, 4 pages
http://dx.doi.org/10.1155/2015/234592
Case Report

Laparoscopic Management of a Complex Adrenal Cyst

1Department of Urology, Toyama City Hospital, Toyama, Toyama 939-8511, Japan
2Department of Urology, Toyama Rosai Hospital, Uozu, Toyama 937-0042, Japan
3Department of Internal Medicine, Toyama City Hospital, Toyama, Toyama 939-8511, Japan
4Department of Radiology, Toyama City Hospital, Toyama, Toyama 939-8511, Japan
5Department of Pathology, Toyama City Hospital, Toyama, Toyama 939-8511, Japan

Received 1 June 2015; Revised 13 September 2015; Accepted 27 September 2015

Academic Editor: David Duchene

Copyright © 2015 Koichi Kodama 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.

Abstract

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 excised en bloc via a lateral transperitoneal laparoscopic approach without violating the principles of surgical oncology. The pathological diagnosis was an adrenal pseudocyst. Laparoscopic adrenalectomy is a safe option for the treatment of complex adrenal cysts, while maintaining the benefits of minimal invasiveness.