BMJ Case Reports 2012; doi:10.1136/bcr-2012-006606
  • Rare disease

An incidental peri-adrenal cystic lesion

  1. Mark Otter
  1. Department of Histopathology, Royal Shrewsbury Hospital, Shrewsbury, UK
  1. Correspondence to Dr George Powell, george.powell{at}

A 50-year-old man was found to have an incidental peri-adrenal cystic lesion on CT imaging which was removed laparoscopically. Histological examination showed a cystic structure composed of respiratory and cuboidal-type epithelium with underlying smooth muscle, cartilage and seromucinous glands. The differential diagnosis for such a lesion includes bronchogenic cyst or teratoma differentiated. This case report offers an overview of both the conditions and the difficulties encountered in the histological distinction.


  • Competing interests None.

  • Patient consent Obtained.

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