Laparoscopic management of giant adrenal cyst: a case report
Year: 2023
Type: article
Study design: Case Report
Abstract: Background: Giant adrenal cysts represent a rare clinical condition. They are usually diagnosed incidentally. The treatment depends on the size, the associated symptoms, and whether it is a functional tumor or not. They are classified in order of frequency as vascular, pseudocyst, epithelial, and parasitic cysts. Case Description: The case report describes a 47-year-old Mexican woman patient who presented to our department with nonspecific symptoms of discomfort and pain in the lumbar region. Preoperative studies were conducted, and laboratory results were within normal parameters. Abdominal ultrasonography showed a giant cyst in the left upper quadrant. Further evaluation with intravenous contrast-enhanced abdominal computed tomography confirmed the presence of a cystic mass originating from the adrenal gland, displacing the spleen, stomach, pancreas, and left kidney. A laparoscopic approach was chosen, and the cyst was carefully dissected from the surrounding structures using precise surgical maneuvers, and the origin of the left adrenal gland was confirmed. Follow-up at 3 weeks showed a favorable recovery, and the patient was discharged without complications. Conclusions: Adrenal cysts should be included in the differential diagnosis of cystic abdominal masses. Laparoscopic surgery is feasible in the hands of experienced surgeons.
Source: Laparoscopic Surgery
DOI: 10.21037/ls-23-12
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4387952844