Haemorrhagic pseudocyst of the adrenal gland: case report and literature review

Abstract

Adrenal pseudocyst is a rare pathologic fi nding in paediatric population. They tend to be asymptomatic lesions and are usuallyfound sporadically in radiologic fi ndings. However, cysts larger than 5 cm in diameter can cause symptoms of compression on adjacentorgans and therefore surgical removal is needed. Regarding diff erential diagnosis, it is crucial to diff er a benign from malignantlesion in paediatric population. We report a case of a 12-year-old girl who presented with acute abdominal pain and fever. She hadbeen diagnosed with a right abdominal cyst two years before and was routinely followed up through our outpatient clinic. Mediallaparotomy, surgical excision and drainage of the cystic lesion were performed. Histopathology examination reported a haemorrhagicadrenal pseudocyst. Six-month follow up was uneventful.