ECE2015 Eposter Presentations Clinical Cases–Pituitary/Adrenal (95 abstracts)
A cystic lesion of the adrenal gland mimicking hydatid cyst
Faten Hadj Kacem 1 , Mouna Ammar 1 , Ayman Maalej 2 , Nesrine Cheikrouhou 1 , Nadia Charfi 1 & Mohamed Abid 1
1Department of Endocrinology, Sfax, Tunisia; 2Imaging Department, Sfax, Tunisia.
Introduction: Adrenal cystic lesions are uncommon and mostly identified incidentally during radiological investigations or at surgery for unrelated reasons. Its incidence varies between 0.064 and 0.18%. Adrenal cysts are classified as endothelial cysts, pseudocysts, epithelial cysts, and parasitic cysts.
Case report: A 45-year-old female with a past medical history of systemic hypertensive disease for 2 years, presented with recurrent abdominal pain during the last 3 months. Abdominal ultrasonography (US) showed a multicystic mass in the right adrenal region. The CT scan revealed a hypo-dense, multicystic mass measuring 6×5 cm in the right adrenal bed, with slightly mural enhancing after administered with contrast medium and calcifications of the cystic wall. The pictures obtained were very evocative of hydatid cyst. Hydatid serology was negative. An adrenal evaluation was performed and was within normal limits. On the basis of these findings, surgical excision was carried out. The histopathological diagnosis was a cystic lymphangioma in the right adrenal gland.
Conclusion: Cystic adrenal lymphangiomas are very rare, benign vascular lesions. Imaging can character-ize the cystic nature of these lesions. However, it sometimes fails to establish a specific diag-nosis preoperatively. So definite diagnosis relies on Histologic and immunohistochemical examination. Lymphangiomas must be kept in mind in the clinical and radiologic differential diagnosis of cystic adrenal lesions.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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