A huge haemorrhagic suprarenal pseudocyst: an unusual presentation of a rare condition

BMJ Case Rep. 2021 Feb 4;14(2):e235158. doi: 10.1136/bcr-2020-235158.

Abstract

Haemorrhagic suprarenal pseudocysts are very rare and are often incidental findings at surgery or autopsy, though they can sometimes present with predominantly gastrointestinal or endocrine symptoms, including intraperitoneal bleeding or sepsis. Our case report is of a 48-year-old man who presented at our primary healthcare centre with 2-month history of predominantly respiratory symptoms of cough and shortness of breath. CT scan revealed a suprarenal cyst measuring 14.2×13.5×13.1 cm for which he was operated and made a full recovery. A detailed literature review reveals that there has never been a case of a haemorrhagic suprarenal pseudocyst presenting with predominantly respiratory symptoms, which is why we decided to document this case report.

Keywords: adrenal disorders; general practice / family medicine.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Diseases / complications*
  • Cysts / complications
  • Cysts / diagnostic imaging*
  • Cysts / surgery*
  • Dyspnea / etiology
  • Hemorrhage*
  • Humans
  • Male
  • Middle Aged
  • Rare Diseases / complications*
  • Tomography, X-Ray Computed