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Case report, case study

https://doi.org/10.21860/medflum2025_332193

Adrenal Pseudocyst: A Case Report

Veronika Lončar orcid id orcid.org/0009-0009-4065-2170 ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska *
Dean Markić ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
Iva Žuža ; Klinički bolnički centar Rijeka, Klinički zavod za dijagnostičku i intervencijsku radiologiju, Rijeka, Hrvatska
Gordana Đorđević ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska; Klinički bolnički centar Rijeka, Klinički zavod za patologiju i citologiju, Rijeka, Hrvatska

* Corresponding author.


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Abstract

Aim: The aim of this paper is to present a patient with a pseudocyst of the adrenal gland, as well as to discuss diagnostic challenges, and treatment approach for this clinical entity. Case report: A 69-year-old female patient was admitted to the Department of Urology for surgical treatment of an asymptomatic cyst of the right kidney classified as Bosniak III. The surgery was performed using a laparoscopic approach. Intraoperatively, a cystic formation measuring approximately 5 cm was found above and medially to the upper pole of the right kidney, which was separated from it and was entering the right adrenal gland. The formation was completely removed, and the pathological examination revealed that it was a calcified pseudocyst of the adrenal cortex measuring 5x4x3 centimeters. The postoperative course was uneventful. Since it is a benign pathology, the patient is followed up annually by the urologist. Conclusion: Pseudocyst of the adrenal gland is a very rare clinical entity. Diagnosis is based on imaging studies, primarily CT scans. Treatment depends on symptoms, as well as the findings of diagnostic tests. Depending on these factors, surgical intervention or monitoring of pseudocyst growth may be indicated, with an excellent prognosis.

Keywords

adrenal glands; laparoscopy; neoplasms; pseudocyst; urology

Hrčak ID:

332193

URI

https://hrcak.srce.hr/332193

Publication date:

1.9.2025.

Article data in other languages: croatian

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