Journal of Korean Endocrine Society 1998;13(4):659-664.
Published online January 1, 2001.
A Case of Traumatic Nonfuctional Adrenal Pseudocyst.
Soon Jib Yoo, Kwang Woo Lee, Ho Young Son, Sung Koo Kang, Bong Yeon Cha, Ho Jin Song, Jin No Park, Hyung Joon Kim, Jin Ah Kim, Il Young Park
Abstract
The adrenal glands are rarely injured by blunt trauma, because they are well protected by the ribs, paraspinal muscles, and the overlying abdominal contents. Although most of adrenal cysts are clinically silent, the number of incidentally detected adrenal cysts have increased due to advanced and widespread application of various sensitive imaging methods. Recently, we have encountered a case of a 62-year-old man who have developed a left adrenal pseudoeyst one and a half months after the blunt trauma from a pedestrian traffic accident. The pseudocyst was non-functional and measured about 5 * 4 cm in size with the same fluid density of a gall bladder in abdominal computerized tomography(CT). Turbid cystic fluid was aspirated by CT-guided method, and the aspirate was composed of degenerated old blood cells without any malignant cells. Since the cyst was developed following trauma and its microscopic content showed blood cells, impending rupture was anticipated. Hence, a laparoscopic adrenalectomy was performed.
Key Words: Adrenal Pseudocyst, Adrenal Incidentaloma, Traumatic Adrenal Cyst


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