RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/a-0658-1389
Large adrenal cyst masquerading as a pancreatic cystic tumor: a rare diagnosis based on endoscopic ultrasound
Publikationsverlauf
submitted 05. Mai 2018
accepted 14. Mai 2018
Publikationsdatum:
11. September 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00025476/201809/lookinside/thumbnails/1211_10-1055-a-0658-1389-1.jpg)
Abstract
Adrenal cystic lesions constitute a rare finding and usually are diagnosed incidentally as retroperitoneal cysts during imaging studies. A major issue, especially for the large-sized ones, is their preoperative diagnosis and management, as imaging modalities often fail to detect their exact origin prior to surgery. We report a case of a big adrenal cyst that was mistakenly diagnosed and followed up as pancreatic cystic tail tumor. Our thorough workup, which included endoscopic ultrasound (EUS), managed to delineate an adrenal gland-originated cyst and altered further management of the patient. According to our knowledge, this is the first report in literature in which EUS proved its superiority over other imaging studies in clarifying the origin of an ambiguous big retroperitoneal cyst. We believe that for cases of large retroperitoneal cystic lesions, EUS consists the optimal diagnostic and sampling tool.
-
References
- 1 Chien HP, Chang YS, Hsu PS. et al. Adrenal cystic lesions: a clinicopathological analysis of 25 cases with proposed histogenesis and review of the literature. Endocr Pathol 2008; 19: 274-281
- 2 Bellantone R, Ferrante A, Raffaelli M. et al. Adrenal cystic lesions: report of 12 surgically treated cases and review of the literature. J Endocrinol Invest 1998; 21: 109-114
- 3 Chodisetti S, Boddepalli Y, Kota M. Giant adrenal cyst displacing the right kidney. Indian J Urol 2016; 32: 81-82
- 4 Cantisani V, Petramala L, Ricci P. et al. A giant hemorragic adrenal pseudocyst: contrast-enhanced examination (CEUS) and computed tomography (CT) features. Eur Rev Med Pharmacol Sci 2013; 17: 2546-2550
- 5 Lal TG, Kaulback KR, Bombonati A. et al. Surgical management of adrenal cysts. Am Surg 2003; 69: 812-814
- 6 Lee J, Raman K, Sachithanandan S. Cystic pheochromocytoma mimicking a malignant pancreatic cyst. Gastrointest Endosc 2011; 74: 712-713
- 7 Sioka E, Symeonidis D, Chatzinikolaou I. et al. A giant adrenal cyst difficult to diagnose except by surgery. Int J Surg Case Rep 2011; 2: 232-234