Laparoscopic Management of a Complex Adrenal Cyst

Abstract EN

Adrenal cysts are rare, and their clinical management remains controversial.

We report a case involving an adrenal cyst with a complicated appearance on radiological studies.

Unenhanced computed tomography revealed a unilocular, noncalcified, hypoattenuating mass with a thin wall in the left adrenal gland.

The lesion gradually increased in size from 10 to 50 mm at two-year follow-up.

On contrast-enhanced magnetic resonance imaging, a mural nodule with contrast enhancement was observed.

The entire adrenal gland was excised en bloc via a lateral transperitoneal laparoscopic approach without violating the principles of surgical oncology.

The pathological diagnosis was an adrenal pseudocyst.

Laparoscopic adrenalectomy is a safe option for the treatment of complex adrenal cysts, while maintaining the benefits of minimal invasiveness.