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

Authors: Lan L. Gellert, M.D., Ph.D. (see Authors page)

Revised: 21 September 2016, last major update September 2016

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PubMed Search: adrenal hemorrhagic cyst

Related: Cysts - general, Endothelial (vascular) cyst, Lymphangioma, Parasitic cyst
Cite this page: Hemorrhagic cyst (pseudocyst). PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/adrenalcystshemorrhagic.html. Accessed March 30th, 2017.
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
Clinical Images
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Adrenal pseudocyst:



Ruptured adrenal pseudocyst

Gross Images
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Adrenal hemorrhagic pseudocyst

Micro Description
  • Cyst with hyalinized fibrous capsule containing clotted blood or hemorrhagic fluid
  • No clear lining epithelium or endothelium
Micro Images
Images hosted on other servers:

Adrenal hemorrhagic pseudocyst:

Differential Diagnosis