Adrenal gland and paraganglia
Other benign cortical lesions
Hemorrhagic cyst (pseudocyst)


Topic Completed: 1 September 2016

Revised: 22 July 2019

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PubMed Search: adrenal hemorrhagic cyst

Related topics: Cysts

Lan L. Gellert, M.D., Ph.D.
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Cite this page: Gellert L. Hemorrhagic cyst (pseudocyst). PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/adrenalcystshemorrhagic.html. Accessed November 18th, 2019.
Definition / general
  • Nearly 40% of adrenal cysts
  • Either isolated or associated with a prior adrenal neoplasm, e.g., lymphangioma
  • Sometimes arises from organization of a prior hemorrhagic or infectious process
Essential features
  • Nearly 40% of adrenal cysts
  • Either isolated or associated with a prior adrenal neoplasm, e.g., lymphangioma
  • Cyst with hyalinized fibrous capsule and clotted blood or hemorrhagic fluid
  • No clear lining epithelium or endothelium
Epidemiology
  • Usually women
Etiology
Clinical features
  • Dull regional pain and gastrointestinal complaints
Case reports
Treatment
  • Simple observation
  • Percutaneous drainage
  • Surgical excision
Radiology images
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Adrenal pseudocyst


Ruptured adrenal pseudocyst

Gross images
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Adrenal hemorrhagic pseudocyst

Microscopic (histologic) description
  • Cyst with hyalinized fibrous capsule containing clotted blood or hemorrhagic fluid
  • No clear lining epithelium or endothelium
Microscopic (histologic) images
Images hosted on other servers:


Adrenal hemorrhagic pseudocyst

Differential diagnosis
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