Citation, DOI, disclosures and article data
Citation:
Radswiki T, Elfeky M, Di Muzio B, et al. Adrenal pseudocyst. Reference article, Radiopaedia.org (Accessed on 07 Oct 2024) https://doi.org/10.53347/rID-12128
Adrenal pseudocysts account for ~40% of adrenal cysts and are more likely than simple adrenal cysts to be symptomatic.
Pseudocysts do not have an epithelial lining and typically arise after an episode of adrenal hemorrhage. There is an ~7% association with malignancy (e.g. from hemorrhage into a cystic adrenal neoplasm) 6.
Adrenal pseudocysts appear as a simple cyst or may have a complicated appearance (i.e. septations, blood products, or a soft-tissue component).
CT
Calcification may be present 4. Usually, there is no enhancement post contrast.
Imaging differential considerations include:
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2. Ujam AB, Peters CJ, Tadrous PJ et-al. Adrenal pseudocyst: Diagnosis and laparoscopic management - A case report. Int J Surg Case Rep. 2011;2 (8): 306-8. doi:10.1016/j.ijscr.2011.10.002 - Free text at pubmed - Pubmed citation
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3. Demir A, Tanidir Y, Kaya H et-al. A giant adrenal pseudocyst: case report and review of the literature. Int Urol Nephrol. 2006;38 (1): 167-9. doi:10.1007/s11255-005-3422-z - Pubmed citation
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4. Wang LJ, Wong YC, Chen CJ et-al. Imaging spectrum of adrenal pseudocysts on CT. Eur Radiol. 2003;13 (3): 531-5. doi:10.1007/s00330-002-1537-5 - Pubmed citation
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5. Sakamoto I, Nakahara N, Fukuda T et-al. Atypical appearance of adrenal pseudocysts. J. Urol. 1994;152 (1): 150-2. Pubmed citation
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6. Wedmid A, Palese M. Diagnosis and treatment of the adrenal cyst. Current urology reports. 11 (1): 44-50. doi:10.1007/s11934-009-0080-1 - Pubmed
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