Welcome to Francis Academic Press

Frontiers in Medical Science Research, 2023, 5(3); doi: 10.25236/FMSR.2023.050308.

A Case Report of Giant Adrenal Cyst with Spontaneous Rupture and Hemorrhage


Qi Xu, Wanghong Sun, Lide Song

Corresponding Author:
Lide Song

Urology Surgery Department, Zhuji People's Hospital of Zhejiang Province, Zhuji, 311800, China


A case of huge adrenal cyst with spontaneous rupture and hemorrhage was reported. A 27-year-old female patient came to our hospital in emergency department due to "right upper abdomen and right low back pain and discomfort for 2 days". Whole abdominal enhanced CT revealed a right adrenal cyst with rupture and hemorrhage. An emergency exploratory laparotomy revealed a huge right retroperitoneal hematoma with a size of 25.0cmx20.0cmx18.0cm. Combined with pathology, adrenal endothelial cyst with bleeding was considered. To investigate the follow-up, diagnosis and treatment of giant adrenal cyst based on the literature.


huge adrenal cyst, spontaneous rupture, hemorrhagic shock

Cite This Paper

Qi Xu, Wanghong Sun, Lide Song. A Case Report of Giant Adrenal Cyst with Spontaneous Rupture and Hemorrhage. Frontiers in Medical Science Research (2023) Vol. 5, Issue 3: 49-52. https://doi.org/10.25236/FMSR.2023.050308.


[1] Dogra P, Rivera M, McKenzie T J, et al. Clinical course and imaging characteristics of benign adrenal cysts: a single-center study of 92 patients. [J]. European journal of endocrinology, 2022,187(3).

[2] Sebastiano C, Zhao X, Deng F M, et al. Cystic lesions of the adrenal gland: our experience over the last 20 years [J]. Hum Pathol, 2013,44(9):1797-1803.

[3] Foster D G. Adrenal cysts. Review of literature and report of case[J]. Arch Surg, 1966, 92(1):131-143.

[4] Gubbiotti M A, LiVolsi V, Montone K, et al. A Cyst-ematic Analysis of the Adrenal Gland: A Compilation of Primary Cystic Lesions from Our Institution and Review of the Literature [J]. Am J Clin Pathol, 2022,157(4):531-539.

[5] Chen Jixiang, Zhou Liang, Liu Zhenghuan, et al. Experience in diagnosis and treatment of adrenal cystic lesions [Report of 99 cases]. Journal of Clinical Urology, 2020,35(04):270-276.

[6] Kumar S, Parmar K M, Aggarwal D, et al. Simple adrenal cyst masquerading clinically silent giant cystic pheochromocytoma[J]. BMJ Case Rep, 2019,12(9).

[7] Da S E, Viamontez F, Silva V S, et al. Hemorrhagic adrenal cyst[J]. Einstein (Sao Paulo), 2012,10(1):96-99.

[8] Wu M J, Shih M H, Chen C L, et al. A 15-Year Change of an Adrenal Endothelial Cyst[J]. Am J Case Rep, 2022,23:e935053.

[9] Abate D, Giusti G, Caria N, et al. Surgical approach to adrenal ganglioneuroma: Case report and literature review [J]. Arch Ital Urol Androl, 2018,90(2):145-146.

[10] Zhang Z, Wang L, Chen J, et al. Clinical analysis of adrenal lesions larger than 5 cm in diameter (an analysis of 251 cases)[J]. World J Surg Oncol, 2019,17(1):220.

[11] Goel D, Enny L, Rana C, et al. Cystic adrenal lesions: A report of five cases. [Z]. 2021: 4, e1314.