Traumatic rupture of adrenal pseudocyst leading to massive hemorrhage in retroperitoneum

Favorito, Luciano A.; Lott, Felipe; Cavalcante, André G.

doi:10.1590/s1677-55382004000100008

Cited by 30 publications

(22 citation statements)

References 2 publications

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“…The mean size of symptomatic cysts was larger than that of asymptomatic cysts (7.2 cm vs. 4.4 cm). Large cysts have a tendency to develop such complications as intracystic hemorrhage and rupture that can manifest as a surgical emergency; however, no case was observed in our study (14)(15)(16)(17). Functioning cysts of the adrenal cortex and medulla have been reported (9).…”

Section: Discussionmentioning

confidence: 63%

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Surgical management of adrenal cysts: a single-institution experience

et al. 2014

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ARTICLE INfO ______________________________________________________________ ______________________Objective: To analyze surgical methods and evaluate treatment efficacy and safety for managing adrenal cystic lesions. Materials and methods:All patients presenting with adrenal lesions of the West China Hospital were reviewed retrospectively from January 2003 to April 2013 and 47 were diagnosed as adrenal cysts. Basic information, clinical history, physical examination, laboratory investigations, abdominal ultrasound and enhanced computed tomography were detailed noted. Cysts with different surgical management were analyzed and surgery option operative time, postoperative complications and after-surgery hospital stay were all noted. The final diagnosis was judged by histopathology. Patients were followed from 3 month to 10 years. Results: All the 47 patients with a mean age of 43.8 years were managed by surgical intervention. Compared laparoscopic technology with open technology, the laparoscopic has the advantage of a shorter operation time, shorter hospital stay after surgery and enhanced cosmesis. The histopathologic result was: 23 (50%) were endothelial cysts and 16 (35%) were pseudocysts. One patient had evidence to recurrence at the followed-up stage. Conclusion: Adrenal cysts are rare and with the development of imaging techniques many of these are diagnosed incidentally. CT has advantages in detecting the cysts with haemorrhage, intracystic debris, calcification and mixed adrenal mass. Minimally invasive surgery offers equivalent efficacy to traditional open procedures, while providing a shorter operation time, shorter convalescence and improved cosmesis. Patients after surgical resection should be followed up closely especially if functional cysts and histopathology of cystic tumor are present.

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Section: Discussionmentioning

confidence: 63%

“…Cysts of the adrenal gland have been classified traditionally into four categories by origin: endothelial cyst, 45%; pseudocyst, 39%; epithelial cyst, 9%; parasitic cyst, 7% ( Figure-2) (6,17,20). However, Neri and Nance found pseudocyst represented the most common subtype (2).…”

Section: Discussionmentioning

confidence: 99%

Surgical management of adrenal cysts: a single-institution experience

et al. 2014

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“…Arterial hypertension has been described in the absence of endocrine activity [4,13], and proposed mechanisms include distortion of renal vessels, with vasoactive or neuroendocrine stimulations. Large cysts also bear the risk of massive hemorrhage or infection with cyst rupture, with reports of sepsis and death resulting [15,28].…”

Section: Other Considerations Guiding Surgical Interventionmentioning

confidence: 99%

Diagnosis and Treatment of the Adrenal Cyst

Wedmid

Palese

2010

Curr Urol Rep

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Adrenal cysts, first described in 1670, typically presented with abdominal pain or palpable mass. In the modern era, incidentally identified adrenal cysts are commonplace, as imaging studies have become a mainstay in patient evaluation. The rubric of adrenal cysts comprises a broad differential diagnosis, rendering definitive diagnosis and subsequent management difficult. These cysts are categorized into four subtypes: endothelial, pseudocyst, epithelial, and parasitic. Endocrine workup should rule out functional status. Radiologic differentiation is helpful; however, imaging characteristics, such as hemorrhage in a pseudocyst, can confound identification of benign versus malignant lesions. Any functional lesion, potentially malignant lesion, or benign lesion more than 5 cm in diameter deserves surgical treatment. For small, benign lesions, conservative management is a viable option, although no surveillance protocols have been described.

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“…Traumatic rupture of adrenal cysts has also been reported. [1] Calcifications may be found in approximately 15% of cases and need not imply malignancy. Parasitic cysts due to echinococcal disease (7%) and true epithelial cysts (9%) account for the remainder of adrenal cysts.…”

Section: Introductionmentioning

confidence: 99%

Adrenal cysts: Our laparoscopic experience

et al. 2012

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INTRODUCTION:Cystic lesions of the adrenals are rare with an incidence of 0.06% in autopsies, and the most frequently found are either the endothelial cysts or the pseudocysts. We report our series of patients presenting with adrenal cysts.MATERIALS AND METHODS:The case records of patients presenting with adrenal cysts were reviewed and analyzed. Age, gender, presenting symptoms, physical examination findings, laboratory investigations and imaging records were all noted and analysed.RESULTS:During the 10-year study period, 14 patients, with a mean age of 41.36 ± 5.57 years, were diagnosed to have adrenal cysts. Laparoscopic excision of cysts was performed in three and laparoscopic adrenalectomy in the remaining eleven.CONCLUSIONS:Adrenal cysts are rare, and intervention is indicated whenever they are large (>5 cm), symptomatic, functional, and potentially malignant. Laparoscopic management of these cysts in the form of either decortication/excision is safe, effective, minimally invasive, with minimal blood loss and shorter duration of hospitalization.

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Traumatic rupture of adrenal pseudocyst leading to massive hemorrhage in retroperitoneum

Cited by 30 publications

References 2 publications

Surgical management of adrenal cysts: a single-institution experience

Surgical management of adrenal cysts: a single-institution experience

Diagnosis and Treatment of the Adrenal Cyst

Adrenal cysts: Our laparoscopic experience

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