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Arch Surg. 2009;144(8):786.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Hemorrhagic Adrenal Pseudocyst

Laparotomy was performed, and the mass was found to be retroperitoneal with identifiable tissue planes between the kidney, spleen, and pancreas. Fluid was aspirated and sent for analysis of amylase and carcinoembryonic antigen levels, which were normal. Results of an intraoperative surgical pathologic analysis suggested that the mass was benign with fluid containing blood, histiocytes, and cellular debris. The mass was resected.

Final pathologic analysis showed a large pseudocyst arising from the left adrenal gland filled with thrombus material and organized thrombus. There were adjacent arterial and venous structures, while trichrome and elastin staining suggested that the hemorrhagic pseudocyst may have arisen from a vascular malformation or aneurysm.

Most adrenal cysts are discovered incidentally on computed tomography or ultrasonography in patients with vague gastrointestinal symptoms, abdominal or back pain, or an abdominal mass.^1-2 Adrenal cysts are rare findings encountered more often in women between 30 and 60 years of age . . . [Full Text of this Article]

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Arch Surg. 2009;144(8):785.
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