A Case of Giant Adrenal Endothelial Cyst that was Discovered in Pregnancy and Caused Bleeding Three Years Later

A 39-year-old woman was referred to our hospital after incidental detection of a hypoechoic abdominal mass on ultrasonography at the 11th week of gestation. Magnetic resonance imaging confirmed a 20 cm cystic lesion just cephalad to the left kidney. The patient delivered in the 40th week of gestatio...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 65(2019), 1 vom: 08. Jan., Seite 7-11
1. Verfasser: Araki, Kyohei (VerfasserIn)
Weitere Verfasser: Hakariya, Tomoaki, Shida, Yohei, Miyata, Yasuyoshi, Tabata, Kazuhiro, Abe, Kuniko, Fukuoka, Junya, Sakai, Hideki
Format: Online-Aufsatz
Sprache:Japanese
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports Journal Article
Beschreibung
Zusammenfassung:A 39-year-old woman was referred to our hospital after incidental detection of a hypoechoic abdominal mass on ultrasonography at the 11th week of gestation. Magnetic resonance imaging confirmed a 20 cm cystic lesion just cephalad to the left kidney. The patient delivered in the 40th week of gestation without complications. After 3 years of follow-up, she presented with acute left flank pain. Physical examination revealed pale palpebral conjunctiva and abdominal fullness. Contrast-enhanced computed tomography confirmed a 21 × 17 × 15 cm hemorrhagic cyst arising from the left adrenal gland. Laparoscopic left adrenalectomy was performed. Pathological examination revealed a vascular cyst (endothelial cyst) of the adrenal gland. Surgical intervention is indicated for large adrenal cysts which may cause bleeding into the cavity
Beschreibung:Date Completed 15.08.2019
Date Revised 15.08.2019
published: Print
Citation Status MEDLINE
ISSN:0018-1994
DOI:10.14989/ActaUrolJap_65_1_7