All Those Liver Masses are not Necessarily from the Liver: A Case of a Giant Adrenal Pseudocyst Mimicking a XXXX .

@entity1 @entity548 @entity1661 @entity281 @entity397 @entity490 @entity99 @entity221 @entity491 @entity774
BACKGROUND Most @entity1661 , including @entity774 , are benign and asymptomatic. Rapid enlargement, @entity548 , @entity281 , rupture with leakage of cyst contents, or pressure on adjacent organs can cause symptoms. Although usually diagnosed incidentally on imaging, determining the origin of a cyst can sometimes be challenging. In these situations, surgical excision and pathological analysis is crucial to diagnosis and management. We report here a case of a giant symptomatic @entity774 that closely mimicked a @entity99 at presentation. CASE REPORT A 50-year-old @entity1 , with a history of an incidentally detected @entity99 , presented with severe @entity490 , @entity221 , @entity491 , and mildly abnormal liver function tests. CT scan revealed a large well defined cystic space-occupying lesion within the liver, with findings suggesting @entity397 and possible @entity281 . Early laparotomy was performed, and the origin was determined intraoperatively to be right adrenal, which was later confirmed by pathology. CONCLUSIONS Contrast-enhanced CT scan is the criterion standard for evaluation for abdominal cystic masses. Precise diagnosis of a giant abdominal cyst can be challenging. Surgery is both diagnostic and curative in such situations. We also discuss the specific situations in which surgery should be considered in cases of adrenal cystic masses.
