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Revue Marocaine de Medecine et Sante. 2004; 21 (2): 35-40
in French | IMEMR | ID: emr-68284

ABSTRACT

The cyst of the adrenal gland is a relatively rare pathology. It is defined as being an excrescence to content liquidien to adrenal tissues that is partially or completely destroyed. Through 3 cases collected in the service of general surgery, we report the preoperatory diagnosis difficulties in spite of the means of recent investigation. It is about three women whose middle age is of 33 years. The motive of consultation is an abdominal pain in the 3 patients. The exam is normal in 2 cases and watch an enormous abdominal mass in the third case. The diagnosis of the cyst of the adrenal is evoked in the ultrasonography and the CT scan in a case. In the two other cases, one is oriented toward a hydatid cyst of the liver and a pseudocyst of the pancreas. The hydatid serology is negative among the three patients. The surgical access is a lapartomy under left costal in two cases, and under right costal in a case. The surgical procedure consists in a left surrenalectomy in two cases and an excision of the cyst in a case. The operative follow up are simple. The pathological examination shows a pseudo-cyst in a case, and a cyst endothelial in the two other cases. The cyst of the adrenal is most often asymptomatic. Its symptomatology is bound to the compression of the neighborhood organs. The diagnosis is not always easy its treatment is essentially surgical


Subject(s)
Humans , Female , Cysts/diagnosis , Cysts/surgery , Adrenal Glands , Adult
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