A giant adrenal pseudocyst presenting with @entity4265 and XXXX : a case report.

@entity1 @entity5 @entity281 @entity4265 @entity221 @entity774
INTRODUCTION: @entity774 are rare cystic masses that arise from the adrenal gland and which are usually non-functional and asymptomatic. @entity774 consist of a fibrous wall without an epithelial or endothelial lining. We report the case of a @entity1 with a giant adrenal pseudocyst presenting with @entity4265 and high @entity221 . CASE PRESENTATION: A 52-year-old Japanese @entity1 was admitted with @entity4265 and a chill. Abdominal computed tomography revealed a well-defined cystic mass measuring 19 cm which was located in the right adrenal region and the contents of which were not enhanced with contrast medium. Abdominal ultrasonography revealed a heterogeneously hypo-echoic lesion with a peripheral high-echoic rim. Serum hormonal levels were almost normal. Despite treatment with antibiotics, the high @entity221 persisted. Based on these findings, we made a preoperative diagnosis of a right adrenal cyst with @entity281 . However, the possibility of @entity5 still remained. The @entity1 underwent laparotomy and right adrenal cyst excision with partial hepatectomy in order to relieve the symptoms and to confirm an accurate diagnosis. Histological examination revealed an adrenal pseudocyst with @entity281 . His condition improved soon after the operation. CONCLUSION: We report a case of a giant adrenal pseudocyst with @entity281 . Surgery is required for symptomatic cases in order to relieve the symptoms and in cases of uncertain diagnosis.
