Adrenal pseudocyst mimiking cancer: A case report

Bovio, Silvia; Porpiglia, Francesco; Bollito, Enrico; Allasino, Barbara; Reimondo, Giuseppe; Rovero, E.; Perazzolo, L.; Angeli, Alberto; Papotti, Mauro; Terzolo, Massimo

doi:10.1007/bf03347435

Cited by 6 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These complicated internal cystic components are best evaluated by MRI, especially in cases of intracystic hemorrhage, which shows hyperintensity on T1-and T2-weighted images [15]. Due to the presence of these intracystic components, there have been multiple case reports of adrenal pseudocyst mimicking neoplastic processes [16][17][18]. In our current case, marked uniform restricted diffusion and surrounding edema in the perinephric space favored the diagnosis of an infected pseudocyst.…”

Section: Discussionmentioning

confidence: 61%

“…On CT, pseudocysts are round masses with fluid density and often display complicated internal components such as blood, septa, or soft tissue [15]. They contain calcifications more frequently than endothelial cysts (20% vs. 9.5%) [15][16]. These complicated internal cystic components are best evaluated by MRI, especially in cases of intracystic hemorrhage, which shows hyperintensity on T1-and T2-weighted images [15].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Role of MRI in the Diagnosis of Large Right Adrenal Abscess

Stankard¹,

Gopireddy²,

Lall³

2020

Cureus

View full text Add to dashboard Cite

Adrenal abscesses are extremely rare occurrences with only scattered case reports reported in the literature. Owing to their rarity, they are not usually considered within the typical differential for cystic adrenal masses discovered on computed tomography (CT) or magnetic resonance imaging (MRI). Accurate and timely diagnosis of these lesions is critical to exclude malignancy and ensure appropriate management. In this case report, we describe a post-traumatic case of adrenal abscess associated with Staphylococcus aureus bacteremia and its differentiation from cystic adrenal masses. Specific emphasis is placed on the imaging features seen on CT and MRI and how these features can be utilized to differentiate it from other adrenal pathologies such as adrenal pseudocyst or cystic adrenocortical neoplasm.

show abstract

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Role of MRI in the Diagnosis of Large Right Adrenal Abscess

Stankard¹,

Gopireddy²,

Lall³

2020

Cureus

View full text Add to dashboard Cite

show abstract

“…A definitive preoperative diagnosis of adrenal pseudocyst can be difficult to make when there is acute intracystic hemorrhage, as in the present case, as this results in contrast enhancement on imaging. The solid appearance of hemorrhagic adrenal pseudocyst can mimic pheochromocytoma, myelolipoma, metastatic malignancy, primary adrenal adenoma, and adrenocortical carcinomas [ 2 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Hemorrhagic Adrenal Pseudocyst Mimicking Solid Tumor

et al. 2017

View full text Add to dashboard Cite

Patient: Female, 78Final Diagnosis: Adrenal pseudocystSymptoms: NoneMedication: —Clinical Procedure: OperationSpecialty: UrologyObjective:Mistake in diagnosisBackground:Adrenal pseudocysts are often discovered incidentally on imaging, but the diagnosis and treatment can be challenging. A case of adrenal pseudocyst with hemorrhage is presented that mimicked a solid tumor on imaging, resulting in adrenalectomy.Case Report:A 78-year-old woman was found to have a right adrenal lesion on abdominal imaging. Enhanced computed tomography (CT) showed a heterogeneously enhanced mass, and magnetic resonance imaging (MRI) showed a high-intensity T1-weighted and T2-weighed image, with an irregular enhanced margin. The imaging findings were suggestive of a solid tumor of the adrenal gland. Although full endocrine serological studies were negative, the lesion increased in size at two-year follow-up. Right laparoscopic adrenalectomy was performed, and a benign hemorrhagic adrenal pseudocyst was diagnosed histologically.Conclusions:Adrenal pseudocyst can be associated with acute intracystic hemorrhage, and imaging will show contrast enhancement, suggesting malignancy. In such cases, surgical excision is both diagnostic and curative.

show abstract

Surgery for a pancreatic pseudocyst uncovers an adrenal mass instead

Bhamidipati

Smeds

2010

Journal of the American Academy of Physician Assistants

View full text Add to dashboard Cite

Adrenal pseudocyst mimiking cancer: A case report

Cited by 6 publications

References 9 publications

Role of MRI in the Diagnosis of Large Right Adrenal Abscess

Role of MRI in the Diagnosis of Large Right Adrenal Abscess

A Case of Hemorrhagic Adrenal Pseudocyst Mimicking Solid Tumor

Surgery for a pancreatic pseudocyst uncovers an adrenal mass instead

Contact Info

Product

Resources

About