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Right adrenal gland pseudocyst masquerading as a large symptomatic hepatic cyst: Single incision laparoscopic (SILS) resection and a review of current literature
Ann Hepatobiliary Pancreat Surg 2018 Feb;22(1):75-8
Published online February 28, 2018
Copyright © 2018 Ann Hepatobiliary Pancreat Surg.

Koy Min Chue1, Giap Hean Goh2, and Alfred Wei Chieh Kow3

1Department of Surgery, University Surgical Cluster, National University Hospital, 2Department of Pathology, National University Hospital, 3Division of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Department of Surgery, University Surgical Cluster, National University Hospital, Singapore
Received June 4, 2017; Revised July 5, 2017; Accepted July 7, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Adrenal pseudocysts are rare entities, which are usually asymptomatic. Large symptomatic adrenal pseudocysts may cause compressive symptoms. The etiology of these cysts is unknown, although the cyst wall is all lined by fibrous tissue, without any epithelial or endothelial lining. We report a case of a 26-year-old lady who presented with a symptomatic right adrenal pseudocyst measuring 7.6 cm in size. Magnetic resonance imaging confirmed the presence of a right retroperitoneal cystic lesion which was hyperintense on T2 sequencing. An attempted single incision transumbilical laparoscopic surgery (SILS) was performed to excise the right adrenal pseudocyst. However, due to the retro-hepatic nature of the lesion and as the medial wall of the cyst was adherent to the inferior vena cava, an additional 5 mm port was inserted to facilitate retraction of the liver. The post-operative period was uneventful. She was successfully discharged from the hospital as a day surgery patient. The final pathology showed an adrenal pseudocyst. (Ann Hepatobiliary Pancreat Surg 2018;22:75-78)
Keywords : Adrenalectomy; Adrenal gland; Laparoscopy; Pseudocyst

 

November 2018, 22 (4)